Strangulated femoral hernia leading to lower extremity necrotizing soft tissue infection

This article presents a rare case of a necrotizing soft tissue infection secondary to a strangulated and perforated femoral hernia. The patient had presented several days after the onset of symptoms and was in septic shock due to spillage of intestinal contents into the thigh. Urgent operative manag...

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Autores principales: Zhang, Ellie, Fountain, Hayes, Trestrail, Timothy, Kronenfeld, Joshua, Jimenez, Carolina, Cubas, Robert
Formato: Artículo revista
Lenguaje:Inglés
Publicado: Universidad Nacional Córdoba. Facultad de Ciencias Médicas. Secretaria de Ciencia y Tecnología 2025
Materias:
necrotizing fascitis
intestinal perforation
femoral hernia
hernia femoral
fascitis necrotizante
perforación intestinal
hérnia femoral
faccite necrozante
Perfuração Intestinal
Acceso en línea:https://revistas.unc.edu.ar/index.php/med/article/view/45345
Aporte de:
Revista de la Facultad de Ciencias Médicas de Córdoba de Universidad Nacional de Córdoba
id I10-R327-article-45345
record_format ojs
institution Universidad Nacional de Córdoba
institution_str I-10
repository_str R-327
container_title_str Revista de la Facultad de Ciencias Médicas de Córdoba
language Inglés
format Artículo revista
topic necrotizing fascitis
intestinal perforation
femoral hernia
hernia femoral
fascitis necrotizante
perforación intestinal
hérnia femoral
faccite necrozante
Perfuração Intestinal
spellingShingle necrotizing fascitis
intestinal perforation
femoral hernia
hernia femoral
fascitis necrotizante
perforación intestinal
hérnia femoral
faccite necrozante
Perfuração Intestinal
Zhang, Ellie
Fountain, Hayes
Trestrail, Timothy
Kronenfeld, Joshua
Jimenez, Carolina
Cubas, Robert
Zhang, Ellie
Fountain, Hayes
Trestrail, Timothy
Kronenfeld, Joshua
Jimenez, Carolina
Cubas, Robert
Zhang, Ellie
Fountain, Hayes
Trestrail, Timothy
Kronenfeld, Joshua
Jimenez, Carolina
Cubas, Robert
Strangulated femoral hernia leading to lower extremity necrotizing soft tissue infection
topic_facet necrotizing fascitis
intestinal perforation
femoral hernia
hernia femoral
fascitis necrotizante
perforación intestinal
hérnia femoral
faccite necrozante
Perfuração Intestinal
author Zhang, Ellie
Fountain, Hayes
Trestrail, Timothy
Kronenfeld, Joshua
Jimenez, Carolina
Cubas, Robert
Zhang, Ellie
Fountain, Hayes
Trestrail, Timothy
Kronenfeld, Joshua
Jimenez, Carolina
Cubas, Robert
Zhang, Ellie
Fountain, Hayes
Trestrail, Timothy
Kronenfeld, Joshua
Jimenez, Carolina
Cubas, Robert
author_facet Zhang, Ellie
Fountain, Hayes
Trestrail, Timothy
Kronenfeld, Joshua
Jimenez, Carolina
Cubas, Robert
Zhang, Ellie
Fountain, Hayes
Trestrail, Timothy
Kronenfeld, Joshua
Jimenez, Carolina
Cubas, Robert
Zhang, Ellie
Fountain, Hayes
Trestrail, Timothy
Kronenfeld, Joshua
Jimenez, Carolina
Cubas, Robert
author_sort Zhang, Ellie
title Strangulated femoral hernia leading to lower extremity necrotizing soft tissue infection
title_short Strangulated femoral hernia leading to lower extremity necrotizing soft tissue infection
title_full Strangulated femoral hernia leading to lower extremity necrotizing soft tissue infection
title_fullStr Strangulated femoral hernia leading to lower extremity necrotizing soft tissue infection
title_full_unstemmed Strangulated femoral hernia leading to lower extremity necrotizing soft tissue infection
title_sort strangulated femoral hernia leading to lower extremity necrotizing soft tissue infection
description This article presents a rare case of a necrotizing soft tissue infection secondary to a strangulated and perforated femoral hernia. The patient had presented several days after the onset of symptoms and was in septic shock due to spillage of intestinal contents into the thigh. Urgent operative management was undertaken to obtain source control and debride the significant necrotic tissue that was present. Additionally, small bowel resection via a midline laparotomy was required as the bowel was necrotic on intraoperative evaluation. Specific management challenges included the closure of hernia defect in an infected field and the complex wound care regimen necessitated by the extent of tissue necrosis. Prompt surgical intervention, in the setting of a necrotizing soft tissue infection, is imperative to achieving a favorable outcome.
publisher Universidad Nacional Córdoba. Facultad de Ciencias Médicas. Secretaria de Ciencia y Tecnología
publishDate 2025
url https://revistas.unc.edu.ar/index.php/med/article/view/45345
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spelling I10-R327-article-453452025-06-26T19:09:18Z Strangulated femoral hernia leading to lower extremity necrotizing soft tissue infection Infeccion necrotizante de tejidos blandos de extremidad inferior causada por hernia crural estrangulada Infecção necrotizante de tecidos moles dos membros inferiores causada por hérnia crural estrangulada Zhang, Ellie Fountain, Hayes Trestrail, Timothy Kronenfeld, Joshua Jimenez, Carolina Cubas, Robert Zhang, Ellie Fountain, Hayes Trestrail, Timothy Kronenfeld, Joshua Jimenez, Carolina Cubas, Robert Zhang, Ellie Fountain, Hayes Trestrail, Timothy Kronenfeld, Joshua Jimenez, Carolina Cubas, Robert necrotizing fascitis intestinal perforation femoral hernia hernia femoral fascitis necrotizante perforación intestinal hérnia femoral faccite necrozante Perfuração Intestinal This article presents a rare case of a necrotizing soft tissue infection secondary to a strangulated and perforated femoral hernia. The patient had presented several days after the onset of symptoms and was in septic shock due to spillage of intestinal contents into the thigh. Urgent operative management was undertaken to obtain source control and debride the significant necrotic tissue that was present. Additionally, small bowel resection via a midline laparotomy was required as the bowel was necrotic on intraoperative evaluation. Specific management challenges included the closure of hernia defect in an infected field and the complex wound care regimen necessitated by the extent of tissue necrosis. Prompt surgical intervention, in the setting of a necrotizing soft tissue infection, is imperative to achieving a favorable outcome. En este artículo se presenta un caso raro de infección necrotizante de tejidos blandos secundaria a una hernia femoral estrangulada y perforada. El paciente se había presentado varios días después del inicio de los síntomas y estaba en shock séptico debido al derrame de contenido intestinal en el muslo. Se llevó a cabo un manejo quirúrgico urgente para obtener el control de la fuente y debridar el abundante tejido necrótico presente. Además, se requirió resección del intestino delgado mediante laparotomía de la línea media, ya que el intestino estaba necrótico en la evaluación intraoperatoria. Los desafíos específicos del manejo incluyeron el cierre del defecto de hernia en un campo infectado y el complejo régimen de cuidado de heridas requerido por el grado de necrosis tisular. La intervención quirúrgica inmediata, en el contexto de una infección necrotizante de tejidos blandos, es imprescindible para lograr un resultado favorable. Este artigo apresenta um caso raro de infecção necrosante de partes moles secundária a hérnia femoral estrangulada e perfurada. A paciente havia se apresentado vários dias após o início dos sintomas e estava em choque séptico devido ao derramamento de conteúdo intestinal na coxa. O manejo operatório de urgência foi realizado para obter o controle do foco e desbridar o tecido necrótico significativo que estava presente. Além disso, foi necessária a ressecção do intestino delgado por laparotomia mediana, uma vez que o intestino estava necrótico na avaliação intraoperatória. Desafios específicos de manejo incluíram o fechamento do defeito herniário em um campo infectado e o complexo regime de cuidados com a ferida necessário pela extensão da necrose tecidual. A intervenção cirúrgica imediata, no contexto de uma infecção necrosante dos tecidos moles, é imperativa para alcançar um resultado favorável. Universidad Nacional Córdoba. Facultad de Ciencias Médicas. Secretaria de Ciencia y Tecnología 2025-06-26 info:eu-repo/semantics/article info:eu-repo/semantics/publishedVersion text/html application/pdf https://revistas.unc.edu.ar/index.php/med/article/view/45345 10.31053/1853.0605.v82.n2.45345 Revista de la Facultad de Ciencias Médicas de Córdoba.; ##issue.vol## 82 ##issue.no## 2 (2025); 409-418 Revista de la Facultad de Ciencias Médicas de Córdoba; Vol. 82 Núm. 2 (2025); 409-418 Revista da Faculdade de Ciências Médicas de Córdoba; v. 82 n. 2 (2025); 409-418 1853-0605 0014-6722 10.31053/1853.0605.v82.n2 eng https://revistas.unc.edu.ar/index.php/med/article/view/45345/49436 https://revistas.unc.edu.ar/index.php/med/article/view/45345/49434 Derechos de autor 2025 Universidad Nacional de Córdoba https://creativecommons.org/licenses/by-nc/4.0

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