[Phlegmonous colitis].

E Reyes Gutiérrez; A Gamboa Domínguez; M L Díaz Betancourt

PubMed · 1308306

[Phlegmonous colitis].

E Reyes Gutiérrez·A Gamboa Domínguez·M L Díaz Betancourt

Abstract

Phlegmonous inflammation of the digestive tract is a rare lesion related in the majority of the previously described cases to systemic infections and chronic hepatic diseases. Both process may promote gastric and intestinal loss of the mucosal local defenses mechanisms against bacterial invasion. The term phlegmonous enterocolitis or gastritis defines an acute inflammatory process with purulent or nonpurulent character, that selectively damages the gastric, small and large intestines submucosal layer. The intestinal lesions are more frequently located in the small portion, followed by the colonic involvement. In the present paper we describe the postmortem findings and clinical course of a case with phlegmonous colitis in a 53 years old woman with cirrhosis and S pneumoniae septicemia.

Explore related subjects

Cellulitis Colitis Female Humans Middle Aged Pneumococcal Infections Case Reports English Abstract Journal Article

Keep this discovery

Explore connections, maps & timelines

BibTeX RIS

E Reyes Gutiérrez, A Gamboa Domínguez, M L Díaz Betancourt. [Phlegmonous colitis].. https://pubmed.ncbi.nlm.nih.gov/1308306/

Cite the original work for its findings. Save a collection to share your selection of sources.

KEEP EXPLORING

Related citations

PubMed2002

Responses to smallpox vaccine.

Explore the source record for details and available documents.

Cellulitis↗

PubMed2002

Common bacterial skin infections.

Family physicians frequently treat bacterial skin infections in the office and in the hospital. Common skin infections include cellulitis, erysipelas, impetigo, folliculitis, and furuncles and carbuncles. Cellulitis is an infection of the dermis and subcutaneous tissue that has poorly demarcated borders and is usually caused by Streptococcus or Staphylococcus species. Erysipelas is a superficial form of cellulitis with sharply demarcated borders and is caused almost exclusively by Streptococcus. Impetigo is also caused by Streptococcus or Staphylococcus and can lead to lifting of the stratum corneum resulting in the commonly seen bullous effect. Folliculitis is an inflammation of the hair follicles. When the infection is bacterial rather than mechanical in nature, it is most commonly caused by Staphylococcus. If the infection of the follicle is deeper and involves more follicles, it moves into the furuncle and carbuncle stages and usually requires incision and drainage. All of these infections are typically diagnosed by clinical presentation and treated empirically. If antibiotics are required, one that is active against gram-positive organisms such as penicillinase-resistant penicillins, cephalosporins, macrolides, or fluoroquinolones should be chosen. Children, patients who have diabetes, or patients who have immunodeficiencies are more susceptible to gram-negative infections and may require treatment with a second- or third-generation cephalosporin.

Cellulitis↗

PubMed2002

Endoscopic totally preperitoneal ventral hernia repair.

BACKGROUND: In order to combine the advantages of a minimal invasive approach with a retromuscular mesh implantation, we developed an endoscopic totally preperitoneal approach for the treatment of ventral hernias. METHODS: The surgical technique is described with the accent on preoperative marking of mesh surface, the retromuscular insertion of the first trocar, the extraperitoneal dissection, the reduction of the hernia sac, and the choice and insertion of the mesh. RESULTS: Fifteen patients have been operated. Complete reduction of the hernia sac could be accomplished in five. In eight, the peritoneum was incised at the hernia neck. A polypropylene mesh was used in six cases. In the others, ePTFE or a composite mesh was used. Circumferential fixation with a tacker was performed. No major complications were seen. No mesh needed to be removed. One recurrence was seen 5.5 months postoperatively with a median follow-up period of 126 days. CONCLUSIONS: This new endoscopic technique takes advantage of immediate mesh fixation by the peritoneal sac and may avoid the potential complications related to the transabdominal approach and intraabdominal position of the mesh. A further long-term evaluation is necessary.

Cellulitis↗