A CASE REPORT OF GAS GANGRENE EXTENDED TO BOTH HIPS AND PARARECTAL SPACE
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- KASUGAI Takao
- Department of Surgery, Ena National Hospital
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- KIMURA Masahiro
- Department of Surgery, Ena National Hospital
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- KOBAYASHI Manabu
- Department of Surgery, Ena National Hospital
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- HOTTA Tetsuo
- Department of Surgery, Ena National Hospital
Bibliographic Information
- Other Title
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- 殿部から直腸周囲骨盤腔に生じたガス壊疽の1例
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Abstract
It is known that gas gangrene demands a prompt treatment immediately after the onset of the disease and it has a poor prognosis when it affects aged patients or the trunk. We experienced a successfelly saved case of gas gangrene extended from both hips to pararectal space in a 78-year-old man. The patinet was seen at another hospital because of a high fever (40°C). No symptomatic remission was attained and the patient was referred to the hospital. He had an underlying disease of prostatic hypertrophy which was diagnosed in 1985. Five days after admission, redness with sever pain and induration appeared in the left hip, and on the next day skin of the left hip became necrotic. Plane X-ray film and CT scan of the lower abdomen revealed gas in both hips and pararectal space. Based on these findings the patient was diagnosed as gas gangrene, and immediately colostomy and aggressive resection of necrotic tissue were performed. The pararectal space was drained and subsequently washed with oxydol everyday until 62 days after the operation. The patient made a full recovery.
Journal
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- The journal of the Japanese Practical Surgeon Society
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The journal of the Japanese Practical Surgeon Society 57 (7), 1576-1579, 1996
Japan Surgical Association
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Keywords
Details 詳細情報について
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- CRID
- 1390282680292963456
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- NII Article ID
- 130003600072
- 10008522467
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- NII Book ID
- AN00198696
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- ISSN
- 21892075
- 03869776
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- Data Source
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- JaLC
- Crossref
- CiNii Articles
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- Abstract License Flag
- Disallowed