Skip to main page content
U.S. flag

An official website of the United States government

Dot gov

The .gov means it’s official.
Federal government websites often end in .gov or .mil. Before sharing sensitive information, make sure you’re on a federal government site.

Https

The site is secure.
The https:// ensures that you are connecting to the official website and that any information you provide is encrypted and transmitted securely.

Access keys NCBI Homepage MyNCBI Homepage Main Content Main Navigation
Case Reports
. 2020 Oct 9:30:100360.
doi: 10.1016/j.tcr.2020.100360. eCollection 2020 Dec.

Massive air in tissues mimicking necrotizing fasciitis of thighs, pelvis and acute abdomen after high pressure lavage of infected pelvic wound. A case report

Affiliations
Case Reports

Massive air in tissues mimicking necrotizing fasciitis of thighs, pelvis and acute abdomen after high pressure lavage of infected pelvic wound. A case report

A Altergot et al. Trauma Case Rep. .

Erratum in

Abstract

A rare cause of air in tissues due to high-pressure lavage treatment of infected surgical wound is described along with discussion of the safety and effectiveness of that method.

Keywords: Air in tissues; High-pressure lavage; Infection; Open pelvic fractures.

PubMed Disclaimer

Conflict of interest statement

Any of authors do not receive any financial support from other people or organizations that could inappropriately influence their work.

Figures

Fig. 1
Fig. 1
Presentation in ER.
Fig. 2
Fig. 2
3D reconstruction of fracture.
Fig. 3
Fig. 3
Provisionally fixed pelvis.
Fig. 4
Fig. 4
X- ray after ORIF.
Fig. 5
Fig. 5
Axial cut of abdomen showing free gas in peritoneum.
Fig. 6
Fig. 6
Axial CT cut, showing gas in peritoneum, retroperitoneum, and sucutaneos tissue.
Fig. 7
Fig. 7
Axial CT cut, showing subcutaneous gas in pelvic region.
Fig. 8
Fig. 8
Saggital CT cut, showing gas in pelvis, peritoneum, retroperitoneum.

References

    1. Sandstrom C.K., Osman S.F., Linnau K.F. Scary gas: a spectrum of soft tissue gas encountered in the axial body (part I–II) Emerg. Radiol. 2017;24:401–409. - PubMed
    1. Oliphant M., Berne A.S., Meyers M.A. The subserous thoracoabdominal continuum: embryologic basis and diagnostic imaging of disease spread. Abdom. Imaging. 1999;24:211–219. - PubMed
    1. Meyers M.A. Radiological features of the spread and localization of extraperitoneal gas and their relationship to its source: an anatomical approach. Radiology. 1974;111:17–26. - PubMed
    1. Boyd J.I., 3rd, Wongworawat M.D. High-pressure pulsatile lavage causes soft tissue damage. Clin. Orthop. Relat. Res. Oct 2004;(427):13–17. - PubMed
    1. Hassinger S.M., Harding G., Wongworawat M.D. High-pressure pulsatile lavage propagates bacteria into soft tissue. Clin. Orthop. Relat. Res. Oct 2005;439:27–31. - PubMed

Publication types

LinkOut - more resources