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2001, Number 4

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Cir Gen 2001; 23 (4)

Intra-abdominal sepsis and myofascitis of the abdominal wall secondary to a fire arm wound. Medical-surgical treatment in stages

Noyola VH, Cardona PM, Magaña SIJ, Pescina CJ

Language: Spanish
References: 24
Page: 251-255
PDF size: 391.65 Kb.


ABSTRACT

Objective: To report the case of a patient with abdominal sepsis and wall myofascitis secondary to a firearm wound, managed through planned surgeries with favorable result.
Setting: Third level health care hospital.
Description of the case: Male patient, 20 years old, with the antecedent of a firearm wound, with two previous surgeries, who was admitted to the hospital with residual abdominal sepsis, evisceration, myofascitis of the abdominal wall, and multiple organ failure. Treatment was initiated with resuscitation at the Intensive Care Unit, followed by abdominal cavity lavage, management of sepsis, and planned surgeries, with application of Goretex mesh. Results were satisfactory and the patient was discharged without complications.
Conclusion: Coexistence of sepsis and abdominal wall myofascitis has a high rate of morbidity and mortality; initial evaluation and adequate resuscitation allow establishing a treatment plan. The use of additional resources, such as prostheses, increase the possibilities of recovery.


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