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직장암 환자에서 수술 및 방사선치료 후 발생한 괴사성 근막염

Necrotizing Fasciitis of Perineum after Surgery and Radiation Therapy for Rectal Cancer

대한대장항문학회지 2004년 20권 5호 p.333 ~ 336
부윤정 ( Boo Yoon-Jeong ) - 고려대학교 의과대학 외과학교실

민병욱 ( Min Byung-Wook ) - 고려대학교 의과대학 외과학교실
엄준원 ( Um Jun-Won ) - 고려대학교 의과대학 외과학교실
문홍영 ( Moon Hong-Young ) - 고려대학교 의과대학 외과학교실

Abstract


Necrotizing fasciitis is a rare disease characterized by rapidly progressive soft tissue infection primarily involving the superficial fascia and is associated with significant morbidity and mortality. Necrotizing fasciitis of the genitalia and the perineum, also known as Fournier´s gangrene, usually occurs after local trauma, perirectal or perineal infections, and complicated surgery, such as circumcision and herniorraphy.
The lack of initial external clinical signs, because the process begins in the deep subcutaneous tissue, make early diagnosis and adequate surgical management difficult. The progression of the disease is often fulminant, and the prognosis hinges on accurate diagnosis and immediate surgical debridement. The present case report documents the rare development of fulminant necrotizing fasciitis associated with a rectal cancer surgery and radiation therapy. J Korean Soc Coloproctol 2004;20:333-336

키워드

괴사성 근막염;대장암 수술;방사선 치료
Necrotizing fasciitis;Rectal cancer surgery;Radiation therapy
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