Large Phagedenic Ulcer of Abdomen

Necrotizing soft-tissue infections.

“…13,14 Breach of the gastrointestinal or urethral mucosa may result in Fournier's gangrene, which begins abruptly with severe pain and may spread rapidly from the perineal region to the anterior abdominal wall, the gluteal muscles, and in males, the genitalia. Finally, an indolent polymicrobial infection known as progressive bacterial synergistic gangrene or large phagedenic ulcer 15 can follow surgery involving colostomy sites or wire sutures. Though large ulcerations often develop, the process does not involve the fascia.…”

Postoperative progressive gangrene: a reminderxs

“…The first case of the condition was probably described by Luckett (1909) though Cullen (1924) and Christopher (1924) are usually credited with first recording the condition as a distinct entity. It has variously been called 'progressive enlarging ulcers of the abdominal wall' (Cullen, 1924), 'severe spreading carbunculus infection of the chest wall' (Christopher, 1924), 'progressive gangrene infection of the skin and subcutaneous tissue' (Brewer & Meleney, 1926), 'progressive gangrenous ulceration of the abdominal wall' (Shipley, 1928), 'postoperative progressive gangrenous infection of skin and subcutaneous tissue' (Probstein & Seehg, 1928), 'postoperative spreading superficial gangrene' (Alexander, 1926) and 'postoperative progressive bacterial synergistic gangrene' (Meleney, 1933).…”