Yüksel ÇİÇEK, Elif ERGÜL, Murtaza Emre DURAKOĞLUGİL, Ayşe ERTÜRK

İnguinal Hematoma Bağlı Cerrahi Debridman Gerektiren Yara Yeri İnfeksiyonu: Perkütan Koroner Girişimin Nadir Bir Komplikasyonu

Altmış üç yaşında tip 2 diabetes mellitus ve kronik böbrek yetmezliği olan bayan hastaya anjiyoplasti ve stent uygulandı. İşlemden yaklaşık 10 dakika sonra femoral bölgede 10x7 cm’lik büyük bir hematom gelişti. Vasküler kılıf, heparin etkisinin geçmesi beklenmeden çekildi. Cilt ve cilt altı dokusunun beslenmesinin bozulmasına bağlı olarak 5.gündeciltte erozyon ve ardından açık ayara oluştu. Erken dönemde antibiyotik başlanmış olmasına rağmen yara giderek derinleşti ve bu nedenle 15. günde cerrahi debridman yapıldı. Takipte yara bölgesinin perfüzyonu düzeldi ve açıklık suture edildi. Hastada başka bir komplikasyon gelişmedi

Anahtar Kelimeler:

Yara enfeksiyonu, Perkütan koroner girişim, İnguinal hematom

Groin Infection Due to Inguinal Hematoma Necessitating Surgical Debridement: A Rare Complication of Percutaneous Coronary Intervention

A 63 year old obese female with chronic renal failure and type 2 diabetes mellitus underwent angioplasty and stent implantation. A large femoral hematoma 10x7 cm in diameter appeared after 10 minutes, and the sheath was withdrawn immediately without waiting heparin effect to subside. Skin erosion and subsequent open wound developed due to the disruption of vessel supply at the fifth day. Despite the early initiation of antibiotics, the wound progressed deeper; hence, surgical debridement was performed at the 15th day. During the follow-up, the wound tissue became healthy with better perfusion and was sutured with no other complication. We think that drainage may provide tissue perfusion by maintaining better blood supply, in case of large hematoma at the puncture site. Radial artery puncture may be preferable in older and obese patients

Keywords:

Groin infection, Percutaneous coronary intervention, Inguinal hematoma,

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