Necrotizing fasciitis of perianal soft tissue mimicking perianal abscess – a case report

Andrzej Żyluk, Wojciech Jagielski, Zbigniew Szlosser

Abstract


ABSTRACT

A case of necrotizing fasciitis of perianal soft tissue mimicking perianal abscess is reported. The clinical presentation of this case in terms of extent and course might be considered a mild form of Fournier gangrene. The condition developed in a 65-year-old woman, burdened with no comorbidities, within 5 days, causing necrosis of perianal soft tissue and sepsis. The appearence of local lesions mimicked bilateral perianal abscess. Operative treatment by wide incisions of the affected perianal areas, evacuation of necrotic debris and antibiotic infusions was successful, but required repetition, and closure of the skin defect around the anus and at the buttock required local flap plasty.


Keywords


perianal abscess; necrotizing fasciitis; Fournier gangrene

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References


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DOI: https://doi.org/10.21164/pomjlifesci.379

Copyright (c) 2018 Andrzej Żyluk, Wojciech Jagielski, Zbigniew Szlosser

License URL: https://creativecommons.org/licenses/by-nc-nd/3.0/pl/