At laparotomy, an abscess was discovered

Hips subcutaneous emphysema: that clearly indicates the thigh exploration? Authors: P Mekhail, Saklani, M Philobos and A. Masoud

Address: Prince Charles Hospital, Mertir Tydfil, UK

Citation: Mekhail P, Saklani, Philobos M, Masoud AG. Thigh subcutaneous emphysema: that clearly indicates the thigh exploration? JSCR. 2011 2:01

Date Articles: SUMMARY: subcutaneous emphysema is a common presentation of lasix 500 mg hip orthopedic, usually related to musculoskeletal or penetrating wounds. But sometimes ITP may be associated with abdominal pathology. We present a case of subcutaneous emphysema hip secondary to paracaecal abscess. INTRODUCTION: Hips subcutaneous emphysema manifested swelling, crepitus and cellulitis is a common orthopedic presentation is usually related to musculoskeletal basic problems or penetrating injury. In some situations it may be associated with pathology of the abdominal limbs instead of Pathology, and most of these cases are usually associated with substantial illness and possible death. We present a case of subcutaneous emphysema hip secondary to paracaecal abscess. It was a control laparotomy for abdominal pathology without surgical removal of the hip or research. Case: 75-year-old woman was admitted to the emergency as a pain in the right iliac fossa. She had fever. Blood on arrival showed leukocytosis of 18. 6 and CRP 235. 5. A clinical study was to no avail. During his stay in, she developed tachycardia and hypotension, which responded to fluid. In this review, abdomen showed fullness in the right iliac fossa. Moreover, she developed swelling and redness of the right thigh. R in a patient abdominal CT of the pelvis and hips that showed gas containing fluid accumulation in the right iliac fossa, respectively, or with dyvertykulyarnaya or appendicular abscess (Fig. 1). He also showed low gas expansion in the right iliac muscle groin and thigh (perivascular) increase opportunities necrotizing fastsyyt (Fig. 2). At laparotomy, an abscess was discovered in the vicinity of the cecum weight. Abscess cavity was entered and right hemicolectomy was performed. Remaining tip of the appendix was found in the abscess cavity. P There was no pus tracking retroperitoneally or alongP lumbar muscles and the muscles appeared healthy. Needle aspiration of swollen hips showed no pus. Most likely, the cause of subcutaneous emphysema in the shoulder was considered gas in the cavity of the abscess tracking along fascial planes. No study of the hip was performed and a plan to review the thigh swelling the next day. However, it is settled following laparotomy alone. Post operative histology showed acute appendicitis from perforated periappendicular abscess. Post operatively patient recovered well, no further operations were done and the patient returned home after a slow recovery. DISCUSSION: retroperitoneal lumbar abscesses and possible gastrointestinal complications after perforation. This collection can be drained by gravity along the fascial planes back from the inguinal ligaments, and both of them can lead to subcutaneous emphysema and possibly thigh abscess (,,,

). Perforated appendix is ​​the most common cause of emphysema bowelrelated right hip, while on the left side it is usually caused by diverticulitis or perforated colon cancer (,,,

). Because of the nature of the disease of the intestinal flora is usually found, but the chances of development of gas gangrene is usually removed (

). Subcutaneous emphysema may be caused by several mechanisms: first, many of the large gas producing flora, and perhaps more importantly passing intestinal gas from the gastrointestinal tract into the tissues as a result of a positive gradient between the lumen of the intestine and subcutaneous space (

). The diagnosis, as in our case often delayed or missed because of lack of localizing signs. If there is no necrotic tissue or dead muscle is adjacent to the basic disease, provided that the primary pathology is timely, subcutaneous emphysema hips may foreshadow benign course. On the other hand, if the necrotic muscle located in the abdomen or pus tracks to the hips, thighs research is required to ensure full rehabilitation and not to miss a necrotizing infection of the hip. In our case the patient conservatively (without thigh intelligence) just abdominal pathology treated, subcutaneous emphysema hips began to improve with antibiotics and careful observation of the patient.

Subcutaneous emphysema hip secondary to abdominal pathology as related to healthy lumbar muscle is a condition to be benign course. It can be treated conservatively without investigation of the thigh as long as celiac disease to manage. Good shooting conditions, including CT and MRI, it is strongly recommended when the primary pathology thigh subcutaneous emphysema is not clear. Links.