Lethal Necrotizing Cellulitis Caused by ESBL-Producing E. Coli after Laparoscopic Intestinal Vaginoplasty - 18/04/17
Abstract |
Background |
The absence of a functional vagina has a negative effect on the quality of life of women. Multiple surgical procedures have been described for vaginal reconstruction in these patients.
Case |
We present a case of an 18-year-old transgender woman, who underwent laparoscopic intestinal vaginoplasty as vaginal reconstruction, and subsequently developed septic shock and multiple organ failure on the basis of an extended-spectrum β-lactamase-producing Escherichia coli. A severe progression of the necrotizing fasciitis was lethal, despite repeated surgical debridement, intravenous antibiotic use, and supportive care at the intensive care unit.
Summary and Conclusion |
Although vaginal reconstruction has a positive influence on the quality of life in transgender women, physicians and patients need to be aware of serious complications that might arise.
Le texte complet de cet article est disponible en PDF.Key Words : Vaginoplasty, Reconstructive surgical procedures, Necrotizing fasciitis, Postoperative complications
Plan
| The authors indicate no conflicts of interest. |
Vol 30 - N° 1
P. e19-e21 - février 2017 Retour au numéro
Article précédent
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