Kas İçi Enjeksiyon Sonrası Gluteal Apse

40 yaşında kadın hasta kas içi enjeksiyon sonrası gluteal ağrı şikayeti ile başvurdu. Hastanın ilk değerlendirmesinde apse olmayan sadece gluteal bölgede selülitli geniş bir alan vardı. Hastanın takibinin ikinci gününde ultrasonografide gluteal apse saptandı ve apse drene edilerek nekrotik doku debride edildi. Yara temizliği 10 gün boyunca günlük olarak yapıldı. Yara daha sonra dikişlerle kısmen kapatıldı. Kalan yara ikincil iyileşme için bırakıldı. İlk ameliyattan sonraki 21. günde yara tamamen iyileşti.

Anahtar Kelimeler:

Apse, Drenaj, Yara

Gluteal Abscess After Intramuscular Injection

A 40-year-old female patient presented with the complaint of gluteal pain after intramuscular injection. In the initial evaluation of the patient, there was only a large area with cellulite in the gluteal region without abscess. On the second day of the patient's follow-up, a gluteal abscess was detected on ultrasonography and the abscess was drained and necrotic tissued debrided. Wound cleaning was done daily for 10 days. The wound was then partially closed with sutures. The remaining wound was left for secondary healing. The wound healed completely on the 21st day after the first operation.

Keywords:

Abscess, Drainage, Wound,

PDF

___

1. Filinte GT, Akan M, Filinte D, Gönüllü ME, Aköz T. Gluteal enjeksiyonlar; düşündüğümüz kadar masum mu? Olgu sunumu. Kartal Tıp Dergisi 2010;21:89-3.
2. Mishra P, Stringer M. Sciatic nerve injury from intramuscular injection: a persistent and global problem. International journal of clinical practice. 2010;64(11):1573-9.
3. Kim H, Park H, Lee SJ. Effective method for drug injection into subcutaneous tissue. Scientific reports. 2017;7(1):1-11.
4. Mayrink M, Mendonça AC, da Costa PR. Soft-tissue sarcoma arising from a tissue necrosis caused by an intramuscular injection of diclofenac. Plastic and reconstructive surgery. 2003;112(7):1970-1.
5. Treadwell T. Intramuscular injection site injuries masquerading as pressure ulcers. Wounds: a Compendium of Clinical Research and Practice 2003;15(9):302-312.
6. Puthezhath K, Zacharia B, Mathew TP. Gluteal abscess: diagnostic challenges and management. The Journal of Infection in Developing Countries. 2010;4(05):345-8.
7. Bowler P, Duerden B, Armstrong DG. Wound microbiology and associated approaches to wound management. Clinical microbiology reviews. 2001;14(2):244-69.
8. Jeng A, Beheshti M, Li J, Nathan R. The role of β-hemolytic streptococci in causing diffuse, nonculturable cellulitis: a prospective investigation. Medicine. 2010;89(4):217-26.
9. Rashid HU, Rashid M, Sarwar SUR, Khan I, Khan N, Bibi N. Negative Pressure Wound Therapy (NPWT): Our Experience in Pakistan With Locally Made Dressing. Cureus. 2020;12(7).