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Vilallonga R, Mazarro A, Rodríguez-Luna MR, Caubet E, Fort JM, Armengol M, Guirao X. Massive necrotizing fasciitis: a life threatening entity. J Surg Case Rep 2019; 2019:rjz269. [PMID: 31719969 PMCID: PMC6830038 DOI: 10.1093/jscr/rjz269] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/07/2019] [Accepted: 09/10/2019] [Indexed: 11/15/2022] Open
Abstract
Necrotizing fasciitis (NF) is a complicated soft tissue infection frequently associated with severe sepsis if an early medical and surgical treatment is not performed. We report two postoperative cases of severe NF after oophorectomy and colorectal resection. Because of the similarity with more benign skin infections at the early steps, clinical suspicion is crucial. Surgical exploration and resection will provide both the diagnosis confirming necrotizing infection of the fascia with vessels and treatment. Also, empirical broad-spectrum antibiotics must be initiated as soon as possible. Regardless of the presence of risk factors, NF is a condition with a high mortality rate and only an expeditious and undelayed treatment may improve the patient's outcome. Surgical focus control requires wide and repeated resections, and planned reconstructive plastic surgery might be necessary.
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Affiliation(s)
- Ramon Vilallonga
- Endocrine Bariatric and Metabolic Unit, General Surgery Department, Universitary Hospital Vall d'Hebron, European Center of Excellence (EAC-BS), Barcelona, Spain.,Universitat Autònoma de Barcelona, Barcelona, Spain.,ELSAN, Clinique St-Michel, Toulon, France
| | - Alejandro Mazarro
- General Surgery Department, Hospital Universitari de la Vall d'Hebron, Barcelona, Spain
| | | | - Enric Caubet
- Endocrine Bariatric and Metabolic Unit, General Surgery Department, Universitary Hospital Vall d'Hebron, European Center of Excellence (EAC-BS), Barcelona, Spain
| | - José Manuel Fort
- Endocrine Bariatric and Metabolic Unit, General Surgery Department, Universitary Hospital Vall d'Hebron, European Center of Excellence (EAC-BS), Barcelona, Spain
| | - Manuel Armengol
- General Surgery Department, Hospital Universitari de la Vall d'Hebron, Barcelona, Spain
| | - Xavier Guirao
- Department of General Surgery Parc Tauli, Hospital Universitari, Sabadell, Hospital General de Granollers, Barcelona, Spain
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Mazarro A, de Pablo A, Puiggròs C, Velasco MM, Saez M, Pamias J, Bescós C. Indications, reconstructive techniques, and results for total glossectomy. Head Neck 2016; 38 Suppl 1:E2004-10. [DOI: 10.1002/hed.24369] [Citation(s) in RCA: 14] [Impact Index Per Article: 1.8] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/13/2015] [Revised: 09/30/2015] [Accepted: 11/25/2015] [Indexed: 01/03/2023] Open
Affiliation(s)
- Alejandro Mazarro
- Oral and Maxillofacial Department; Hospital Vall d'Hebron; Barcelona Spain
| | - Alba de Pablo
- Oral and Maxillofacial Department; Hospital Vall d'Hebron; Barcelona Spain
| | | | - Mª Mercedes Velasco
- Department of Phoniatry and Logopedy - Rehabilitation Service; Hospital Vall d'Hebron; Barcelona Spain
| | - Manel Saez
- Oral and Maxillofacial Department; Hospital Vall d'Hebron; Barcelona Spain
| | - Jorge Pamias
- Oral and Maxillofacial Department; Hospital Vall d'Hebron; Barcelona Spain
| | - Coro Bescós
- Oral and Maxillofacial Department; Hospital Vall d'Hebron; Barcelona Spain
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Artaza T, García JF, González C, Amengual M, Mazarro A, Rodríguez R, Sánchez JJ. Simultaneous involvement of the jejunum and the colon by type-1 neurofibromatosis. Scand J Gastroenterol 1999; 34:331-4. [PMID: 10232882 DOI: 10.1080/00365529950173780] [Citation(s) in RCA: 17] [Impact Index Per Article: 0.7] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 02/04/2023]
Abstract
Type-1 neurofibromatosis (NF-1) or Von Recklinghausen disease is an autosomal dominant hereditary condition that may affect the gastrointestinal tract in 25% of cases and which takes three main forms: ganglioneuromatosis, stromal tumors, and tumors in the duodenum and periampullar region. Not infrequently, these patients present with gastrointestinal bleeding. We present the case of a 48-year-old patient diagnosed as having NF-1, with relapsing episodes of gastrointestinal hemorrhage, in which we discovered the simultaneous presence of a stromal tumor in the jejunum together with polypoid and diffuse ganglioneuromatosis in the colon.
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Affiliation(s)
- T Artaza
- Dept. of Gastroenterology, Virgen de la Salud Hospital, Toledo, Spain
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Guitierrez J, Castro J, Lopez S, Mazarro A, Vera J, Bengoechea E. [Benign tumors of the bile ducts. Apropos of a case]. Rev Esp Enferm Apar Dig 1976; 48:483-8. [PMID: 996342] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [MESH Headings] [Subscribe] [Scholar Register] [Indexed: 12/25/2022]
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