RESUMO
We report a 50-year-old woman case with an extensive necrotizing fasciitis (NF). The NF appeared 10 years after a tension free vaginal tape procedure for urinary stress incontinence. Vital prognosis was engaged due to the initial sepsis severity. This kind of complication is rare and could be under estimated. NF usually appear soon after surgery, whatever within the year following implantation. Anyway, NF are always related to a vaginal erosion of the tape.
Assuntos
Fasciite Necrosante/diagnóstico , Fasciite Necrosante/etiologia , Complicações Pós-Operatórias/diagnóstico , Slings Suburetrais/efeitos adversos , Incontinência Urinária por Estresse/cirurgia , Antibacterianos/uso terapêutico , Fasciite Necrosante/terapia , Feminino , Humanos , Oxigenoterapia Hiperbárica , Pessoa de Meia-Idade , Complicações Pós-Operatórias/cirurgiaRESUMO
Genital-pelvic actinomycosis is an uncommon disease which often arises on women with long term use of intrauterine device. Its diagnostic remains difficult. Even if different clinical locations has been reported, location to the psoas muscle is exceptional. We report such a case, diagnosed on a 53 years old woman. Both a tumoral and a severe infectious syndrome appeared three months after an intra-uterine device removal. The septic syndrome led to a laparotomic approach. Unusual clinical presentation, delay between device removal and septic syndrome and lack of genital infection explain the issues to reach the final diagnosis.