DOI: http://dx.doi.org/10.18203/2349-2902.isj20193117

A case of Meleney’s abdominal gangrene in Madras Medical College

Vinayak Rengan, Vinodh Duraisami, Chetna Ravindra, Karthik Muralidharan

Abstract


A 57 years old male who was a known case of type 2 diabetes presented with a swelling over the left lower abdomen and groin. The patient appeared toxic and local examination revealed discoloration of size 8x6 cm over the groin with a 1×0.5 cm sized ulcer over it accompanied by a seropurulent discharge. A clinical diagnosis of necrotizing fasciitis was made and investigations revealed an elevated blood sugar, white count and creatinine with cultures showing a poly-microbial growth. Emergency debridement under IV sedation was done and subsequently patient underwent daily debridement and dressing in addition to antibiotics and adequate glycemic control. This condition is a surgical emergency and early diagnosis is crucial for improved prognosis. Aggressive surgical debridement is the first line treatment followed by specific antibiotic therapy.


Keywords


Diabetes mellitus, Abdominal gangrene, Sero-purulent discharge, Poly microbial growth

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References


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