Lethal Necrotizing Cellulitis Caused by ESBL-Producing E. Coli after Laparoscopic Intestinal Vaginoplasty

被引:7
|
作者
Negenborn, Vera L. [1 ]
van der Sluis, Wouter B. [1 ,2 ]
Meijerink, Wilhelmus J. H. J. [2 ,3 ]
Bouman, Mark-Bram [1 ,2 ]
机构
[1] Vrije Univ Amsterdam Med Ctr, Dept Plast Reconstruct & Hand Surg, Amsterdam, Netherlands
[2] Vrije Univ Amsterdam Med Ctr, Ctr Expertise Gender Dysphoria, Amsterdam, Netherlands
[3] Vrije Univ Amsterdam Med Ctr, Dept Gastro intestinal Surg & Adv Laparoscopy, Amsterdam, Netherlands
关键词
Vaginoplasty; Reconstructive surgical procedures; Necrotizing fasciitis; Postoperative complications; ESCHERICHIA-COLI; SURGICAL TECHNIQUES;
D O I
10.1016/j.jpag.2016.09.005
中图分类号
R71 [妇产科学];
学科分类号
100211 ;
摘要
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 b-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.
引用
收藏
页码:E19 / E21
页数:3
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