LACERATION OF THE PERINEUM.

Case of Laceration of Perineum and Scrotum

"The sponge perineum:" an innovative method of teaching fourth-degree obstetric perineal laceration repair to family medicine residents.

BACKGROUND Fourth-degree perineal lacerations are an uncommon, unpredictable injury that family physicians may face. METHODS After a needs assessment and feasibility review, we developed goals, objectives, instructional tools, and a feedback survey for a curriculum using a novel model to simulate perineal laceration repair. RESULTS Fifty-six learners evaluated the session, expressing increa...

Necrotizing Infection of the Perineum

Hospital Physician January 2008 39 S pontaneous gangrene of the scrotum was described for the first time in 1753 by Boerhaave,1 who reported on a 40-year-old man with urinary retention. Since that time, several authors have reported similar cases of spontaneous gangrene of the scrotum and penis with associated diseases such as systemic infections, diabetes, urinary extravasations and infiltrati...

Necrotizing fasciitis of the perineum.

BACKGROUND Necrotizing fasciitis is a severe soft tissue infection characterized by rapidly progressing necrosis, involving subcutaneous tissues. This rare condition carries a high mortality rate and requires prompt diagnosis and urgent treatment with radical debridement and antibiotics; but early diagnosis, which is essential to successful treatment, remains a challenge. METHODS Physical exa...

Autoinoculation lupus vulgaris of the perineum.

The case of a young heterosexual male, with a 7 year history of an asymptomatic progressive plaque over the right side of the perineum is described, which 4 years later involved the left perineum and scrotal skin, indicating autoinoculation. The diagnosis of lupus vulgaris was made by strongly positive tuberculin test, histopathology, and a favourable response to a short course of intensive ant...