[Necrotizing fasciitis caused by a Garengeot's hernia. Case report].

Abstract:

:Garengeot's hernia corresponds to the presence of the appendix within a femoral hernia, associated or not with acute appendicitis. The diagnosis of this uncommon situation is usually done during surgery. Furthermore, the clinical presentation as necrotizing fasciitis is a rare condition. We report a 54 years old obese hypertensive woman with rheumatoid arthritis of 40 years of evolution treated with methotrexate and prednisone. She consulted for pain and erythema in the right inguinal region. Laboratory revealed leukocytosis and an elevated C-reactive Protein. Suspecting a cellulitis, the patient was admitted for antimicrobial therapy. A pelvic magnetic resonance imaging showed a perforated acute appendicitis in an inguinal hernia with extensive pelvic cellulitis associated with signs of fasciitis. At surgery, an extensive groin and pubic fasciitis was evident, with a necrotic and perforated appendix within a femoral hernia. Surgical debridement, open appendectomy, and femoral hernioplasty without mesh were carried out. Vacuum-assisted closure was installed in the coverage defect. Three surgical debridement procedures were required for the closure of the wound. Two weeks after the first surgical procedure, the patient was discharged in good condition. During the follow-up, she evolved with a surgical wound dehiscence, which was managed with wound dressings until closure.

journal_name

Rev Med Chil

journal_title

Revista medica de Chile

authors

Briceño E,Jara R

doi

10.4067/s0034-98872018000500660

subject

Has Abstract

pub_date

2018-05-01 00:00:00

pages

660-664

issue

5

eissn

0034-9887

issn

0717-6163

pii

S0034-98872018000500660

journal_volume

146

pub_type

杂志文章
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    authors: González M,Rojas N,Durán D,Schade A,Campos R,Milos C

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  • [Clinical and metabolic features of subjects with glucose intolerance and high fasting glucose levels].

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  • [Scientific research: a cultural legacy].

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    journal_title:Revista medica de Chile

    pub_type: 杂志文章

    doi:

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    更新日期:1989-02-01 00:00:00

  • [Evaluation of public health risk. A new instrument for environmental management in Chile].

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  • [Microdeletion of Y chromosome in severe olygozoospemic infertile patient].

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    authors: Castro A,López P,Johnson MC,Sovino H,Martínez C,Vantman D

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  • [Percutaneous mitral valvuloplasty as a treatment of choice for mitral stenosis. Immediate results and long-term follow-up].

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    authors: Olmos A,Gajardo J,Lecannelier E,Seguel I,Lama A,Otero C,Fasce E

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  • [Quality of life of older people living in Antofagasta, Chile].

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  • [Age of menarche and genetic blood markers].

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    authors: Valenzuela C,Avendaño A,Huerta J,Wells P,Gana R

    更新日期:1990-07-01 00:00:00

  • [Medical coverage of the disease that causes death and place of death in the sixth region of Chile from 1990 to 2003].

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    doi:

    authors: Lanas F,Standen D,Steinmann WC,Montecinos A,Stockins B

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  • [Proposing a data mining scaffolding for preventing harmful alcohol consumption in Chilean adolescents].

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  • [Predictive value of clinical features and nocturnal oximetry for the detection of obstructive sleep apnea syndrome].

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  • [Esophageal manometry in patients with non cardiac chest pain].

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  • [Acquired hemophagocytic syndrome treated with HLH 94-04 chemotherapy protocol: Report of four cases].

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  • [Effect of VKORC1 and CYP2C9 variants on dosage of oral anticoagulants in Chilean individuals].

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  • [A new equation to predict urine creatinine values using data from Chilean population].

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    更新日期:2004-11-01 00:00:00

  • [Present status of medical specialties in the Chilean public health system].

    abstract::To adequately plan the post graduate training of physicians, we need to know the needs for specialists in the country and the most prevalent diseases and causes of consultations. In 2004, the National System of Health Services assessed the number of hours and types of specialties available, their regional distribution...

    journal_title:Revista medica de Chile

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    doi:/S0034-98872008000100013

    authors: Román A O,Señoret S M

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  • [Mushroom poisoning in the IX region. Role of Amanita gemmata].

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    doi:

    authors: Sierralta A,Jeria ME,Figueroa G,Pinto J,Araya JC,San Juan J,Grinbergs J,Valenzuela E

    更新日期:1994-07-01 00:00:00

  • [Clinical correlations and evoked potentials in 29 cases of definitive multiple sclerosis].

    abstract::Aiming to correlate the alterations in evoked potentials with the initial clinical manifestations of multiple sclerosis, 29 patients with the disease were studied and 19 were followed for a lapse ranging from 1 to 11 years. Visual evoked potentials were studied in all the patients and 51% were abnormal. Auditory evoke...

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    doi:

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  • [The link between obesity and cancer].

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