Карточка-задание по английскому языку на тему «MEDICAL WRITING: CASE ABSTRACT_415»
«MEDICAL WRITING: CASE ABSTRACT_415»
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Avoidance of total abdominal
wall loss despite torso soft tissue clostridial myonecrosis: a case report
Clostridial necrotizing soft
tissue infections are often fatal. Myonecrosis of the torso is a particularly
lethal combination given the classic need for radical debridement of the
abdominal and thoracic walls, and therefore total exposure of the
intraperitoneal and intrathoracic viscera. This case is unusual do to our
ability to preserve anatomical separation between the viscera and the
We present a 42-year-old Caucasian
man with obesity and diabetes who developed clostridial myonecrosis of his
right torso following a mesenteric lymph node biopsy. This required an
aggressive debridement (sparing subcutaneous flaps and internal oblique
aponeurosis) followed by reconstruction of his right hemi-torso with a biologic
prosthesis to prevent subsequent hernia formation.
Although basic principles
associated with radical debridement were maintained, a full thickness torso
wall resection was avoided. This provided reconstruction advantages that
included endogenous subcutaneous flap coverage, separation of the peritoneal
cavity by the internal oblique aponeurosis, and prevention of a subsequent
hernia below the arcuate line. This technique would be of interest to any
surgeon or clinician who treats patients with life-threatening torso soft
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