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Tromboze Hemoroide Sekonder Gelişen, İntersfinkterik Nekrotizan Fasiit Olgu Sunumu

Year 2020, Volume: 3 Issue: 3, 177 - 181, 31.12.2020

Abstract

Fournier gangreni (FG); dış genital organlarda ve perianal bölgede yer alan, besleyici arterlerin trombozunun eşlik ettiği, cilt ve cilt altı dokusu gangrenine yol açan, şiddetli intoksikasyon ve organ yetmezliği belirtileri ile seyredebilen spesifik bir nekrotizan fasiit (NF) şeklidir (1). Etiyolojide dermatolojik, anorektal, ürolojik sebepler ile bu bölgeye uygulanan cerrahi müdahaleler ve travmalar suçlanmıştır (2). Anal fissür için yapılan lateral internal sfinkterotomi sonrası ve hemoroid tedavileri sonrası (sklerozan madde enjeksiyonu, lastik bant ligasyonu, hemoroidektomi ve stapler hemoroidopeksi) FG olguları bildirilmiştir (3-4). Yaygın tromboz içeren grade 4 hemoroide sekonder perianal FG olgusu (5) literatürde mevcut olup intersfinkterik ilerleyiş gösteren FG olgusuna rastlanmamıştır. Enfekte dokunun hızlı ve yeterli cerrahi debridmanı tedavinin temelini oluşturmakta olup intravenöz sıvı resüsitasyonu ve geniş spektrumlu intravenöz antibiyotik verilmelidir (6).
Burada tromboze eksternal hemoroid zemininde gelişen ve intersfinkterik seyirli NF’ye yol açan; seri debridman, geniş spektrumlu antibiyotik ve kolostomi ile tedavi edilen 65 yaşındaki olgunun sunulması amaçlanmıştır.

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emeğiniz için şimdiden teşekkür ederim

References

  • 1. Aliev SA, Rafiev SF, Rafiev FS, Aliev ES. [Fournier disease in surgeon'spractice]. Khirurgiia (Mosk) 2008;58-63.
  • 2. Eke N. Fournier's gangrene: a review of 1726 cases. Br J Surg. 2000;87:718‐28.
  • 3. Aldouri AQ, Alexander DJ. Presentation and management of perirectal sepsis. Ann R Coll Surg Engl. 2008;90:4‐7.
  • 4. McCloud JM, Doucas H, Scott AD, Jameson JS. Delayed presentation of life-threatening perineal sepsis following stapled haemorrhoidectomy: a case report. Ann R Coll Surg Engl. 2007;89:301–2.
  • 5. Becker de Moura H, Ribeiro-Silva A. Death resulting from fournier gangrene secondary to thrombosis of very large hemorrhoids: report of a case. Dis Colon Rectum. 2007;50:1715‐18.
  • 6. Lohsiriwat V. Anorectal emergencies. World J Gastroenterol. 2016;22:5867‐78.
  • 7. Prohorov AV. Furnier'sgangrene. Kazan Med J 2016;97:256-61.
  • 8. Chernyadyev SA, Ufimtseva MA, Vishnevskaya IF, Bochkarev YM, Ushakov AA, Beresneva TA, Galimzyanov FV, Khodakov VV. Fournier's Gangrene: Literature Review and Clinical Cases. Urol Int. 2018;101:91-7.
  • 9. Shyam DC, Rapsang AG. Fournier's gangrene. Surgeon. 2013;11:222‐32.
  • 10. Kickuth R, Adams S, Kirchner J, Pastor J, Simon S, Liermann D. Magnetic resonance imaging in the diagnosis of Fournier's gangrene. Eur Radiol. 2001;11:787‐90.
  • 11. Levenson RB, Singh AK, Novelline RA. Fournier gangrene: role of imaging. Radiographics. 2008;28:519‐28.
  • 12. Yılmazer T. Fournier Gangreni: Sinsi, Öldürücü, Ancak Tedavi Edilebilir Hastalık, Kolon Rektum Hast Derg 2012;22:45-9.
Year 2020, Volume: 3 Issue: 3, 177 - 181, 31.12.2020

Abstract

References

  • 1. Aliev SA, Rafiev SF, Rafiev FS, Aliev ES. [Fournier disease in surgeon'spractice]. Khirurgiia (Mosk) 2008;58-63.
  • 2. Eke N. Fournier's gangrene: a review of 1726 cases. Br J Surg. 2000;87:718‐28.
  • 3. Aldouri AQ, Alexander DJ. Presentation and management of perirectal sepsis. Ann R Coll Surg Engl. 2008;90:4‐7.
  • 4. McCloud JM, Doucas H, Scott AD, Jameson JS. Delayed presentation of life-threatening perineal sepsis following stapled haemorrhoidectomy: a case report. Ann R Coll Surg Engl. 2007;89:301–2.
  • 5. Becker de Moura H, Ribeiro-Silva A. Death resulting from fournier gangrene secondary to thrombosis of very large hemorrhoids: report of a case. Dis Colon Rectum. 2007;50:1715‐18.
  • 6. Lohsiriwat V. Anorectal emergencies. World J Gastroenterol. 2016;22:5867‐78.
  • 7. Prohorov AV. Furnier'sgangrene. Kazan Med J 2016;97:256-61.
  • 8. Chernyadyev SA, Ufimtseva MA, Vishnevskaya IF, Bochkarev YM, Ushakov AA, Beresneva TA, Galimzyanov FV, Khodakov VV. Fournier's Gangrene: Literature Review and Clinical Cases. Urol Int. 2018;101:91-7.
  • 9. Shyam DC, Rapsang AG. Fournier's gangrene. Surgeon. 2013;11:222‐32.
  • 10. Kickuth R, Adams S, Kirchner J, Pastor J, Simon S, Liermann D. Magnetic resonance imaging in the diagnosis of Fournier's gangrene. Eur Radiol. 2001;11:787‐90.
  • 11. Levenson RB, Singh AK, Novelline RA. Fournier gangrene: role of imaging. Radiographics. 2008;28:519‐28.
  • 12. Yılmazer T. Fournier Gangreni: Sinsi, Öldürücü, Ancak Tedavi Edilebilir Hastalık, Kolon Rektum Hast Derg 2012;22:45-9.
There are 12 citations in total.

Details

Primary Language Turkish
Subjects Surgery
Journal Section Case Reports
Authors

Ramazan Gündoğdu 0000-0002-8799-3265

Kazım Gemici This is me 0000-0001-8815-0246

Ufuk Uylaş 0000-0003-4195-5498

Publication Date December 31, 2020
Acceptance Date November 13, 2020
Published in Issue Year 2020 Volume: 3 Issue: 3

Cite

APA Gündoğdu, R., Gemici, K., & Uylaş, U. (2020). Tromboze Hemoroide Sekonder Gelişen, İntersfinkterik Nekrotizan Fasiit Olgu Sunumu. Journal of Cukurova Anesthesia and Surgical Sciences, 3(3), 177-181.

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