Fascitis necrotizante de la pared abdominal como presentación infrecuente de una hernia de Garengeot: Caso clínico

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 rep...

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Autores principales:	Briceño,Eduardo, Jara,Rocío
Lenguaje:	Spanish / Castilian
Publicado:	Sociedad Médica de Santiago 2018
Materias:	Appendicitis Fasciitis Necrotizing Hernia Femoral Negative-Pressure Wound Therapy
Acceso en línea:	http://www.scielo.cl/scielo.php?script=sci_arttext&pid=S0034-98872018000500660
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spelling	oai:scielo:S0034-988720180005006602018-07-26Fascitis necrotizante de la pared abdominal como presentación infrecuente de una hernia de Garengeot: Caso clínicoBriceño,EduardoJara,Rocío Appendicitis Fasciitis Necrotizing Hernia Femoral Negative-Pressure Wound Therapy 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.info:eu-repo/semantics/openAccessSociedad Médica de SantiagoRevista médica de Chile v.146 n.5 20182018-05-01text/htmlhttp://www.scielo.cl/scielo.php?script=sci_arttext&pid=S0034-98872018000500660es10.4067/s0034-98872018000500660
institution	Scielo Chile
collection	Scielo Chile
language	Spanish / Castilian
topic	Appendicitis Fasciitis Necrotizing Hernia Femoral Negative-Pressure Wound Therapy
spellingShingle	Appendicitis Fasciitis Necrotizing Hernia Femoral Negative-Pressure Wound Therapy Briceño,Eduardo Jara,Rocío Fascitis necrotizante de la pared abdominal como presentación infrecuente de una hernia de Garengeot: Caso clínico
description	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.
author	Briceño,Eduardo Jara,Rocío
author_facet	Briceño,Eduardo Jara,Rocío
author_sort	Briceño,Eduardo
title	Fascitis necrotizante de la pared abdominal como presentación infrecuente de una hernia de Garengeot: Caso clínico
title_short	Fascitis necrotizante de la pared abdominal como presentación infrecuente de una hernia de Garengeot: Caso clínico
title_full	Fascitis necrotizante de la pared abdominal como presentación infrecuente de una hernia de Garengeot: Caso clínico
title_fullStr	Fascitis necrotizante de la pared abdominal como presentación infrecuente de una hernia de Garengeot: Caso clínico
title_full_unstemmed	Fascitis necrotizante de la pared abdominal como presentación infrecuente de una hernia de Garengeot: Caso clínico
title_sort	fascitis necrotizante de la pared abdominal como presentación infrecuente de una hernia de garengeot: caso clínico
publisher	Sociedad Médica de Santiago
publishDate	2018
url	http://www.scielo.cl/scielo.php?script=sci_arttext&pid=S0034-98872018000500660
work_keys_str_mv	AT bricenoeduardo fascitisnecrotizantedelaparedabdominalcomopresentacioninfrecuentedeunaherniadegarengeotcasoclinico AT jararocio fascitisnecrotizantedelaparedabdominalcomopresentacioninfrecuentedeunaherniadegarengeotcasoclinico
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Fascitis necrotizante de la pared abdominal como presentación infrecuente de una hernia de Garengeot: Caso clínico

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