Subphrenic abscess complicating burn injury

A patient in whom a right subphrenic abscess developed as sequale to burn sepsis is described, drainage of the abscess through right sub-costal incision was done and revealed 500 cc of pus of the same bacteriology as the wound and blood, eventually resulted in cure

Fournier's Gangrene

Fournier's gangrene is relatively a rare surgical disease. It is a type of necrotizing fascitis involving the genito-perineal region. Both aerobic and anaerobic pathogens lie behind the pathogenesis. In his original description J.A. Fournier thought that it is an idiopathic disease without any obvious etiology. Many controversial issues exist about the pathogenesis and treatment of the disease. To investigate the possible correlation between the clinical outcomes [hospital stay, morbidity, mortality] and the early wound closure. Retrospective analysis was done from 1997-2000, in Al-Kindy Teaching Hospital. Eleven cases were included, with variable age and sex. Several predisposing and triggering factors for the disease were found in our work. Different techniques of surgical treatment were used in wound closure after initial resuscitation and frequent mini debridements, in order to close the defect as early as possible. The outcome of our study, despite different surgical procedures used to close the wounds, was encouraging. Hospital stay, morbidity and mortality were reduced in comparison with other studies. We found that the earlier the wound was closed; a shorter hospital stay, and less morbidity and mortality could be achieved

Cervical necrotizing fasciitis with thoracic and abdominal wall extension

A 54 year old diabetic male presented with extensive cervical cellulitis following history of a dental problem. This was followed by a very rapid development of necrosis, gangrene of the skin and deep fascia of the neck, anterior chest and abdominal wall. The patient died 50 hours following admission to Al-Kindy Teaching Hospital inspite of the aggressive triple antibiotic therapy and debridment, of system organ failure due to septicemia