{"title":"影像引导下的严重大腿深部感染的诊断和治疗:残肢而非断关节的关键考虑因素","authors":"Amine El Farhaoui MD , Ouissal Lekehal MD , Yassine Batou MD , Najib abdeljaouad MD , Hicham Yacoubi MD","doi":"10.1016/j.radcr.2025.09.011","DOIUrl":null,"url":null,"abstract":"<div><div>Deep thigh infections can rapidly escalate to life-threatening sepsis, necessitating a multidisciplinary treatment approach. While successive debridements are crucial for removing necrotic tissue, in some cases, they may be insufficient, making more aggressive procedures like hip disarticulation a consideration. However, even in severe infections, a conservative approach can sometimes be successful, as demonstrated in our case report. This highlights the importance of not making quick decisions based solely on radiological and biological data; intraoperative findings and the patient's overall condition can significantly influence the outcome, potentially saving both limb and life</div></div>","PeriodicalId":53472,"journal":{"name":"Radiology Case Reports","volume":"21 1","pages":"Pages 54-58"},"PeriodicalIF":0.0000,"publicationDate":"2025-10-04","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":"0","resultStr":"{\"title\":\"Imaging-guided diagnosis and treatment of severe deep thigh infection: Key considerations for limb-salvage over disarticulation\",\"authors\":\"Amine El Farhaoui MD , Ouissal Lekehal MD , Yassine Batou MD , Najib abdeljaouad MD , Hicham Yacoubi MD\",\"doi\":\"10.1016/j.radcr.2025.09.011\",\"DOIUrl\":null,\"url\":null,\"abstract\":\"<div><div>Deep thigh infections can rapidly escalate to life-threatening sepsis, necessitating a multidisciplinary treatment approach. While successive debridements are crucial for removing necrotic tissue, in some cases, they may be insufficient, making more aggressive procedures like hip disarticulation a consideration. However, even in severe infections, a conservative approach can sometimes be successful, as demonstrated in our case report. This highlights the importance of not making quick decisions based solely on radiological and biological data; intraoperative findings and the patient's overall condition can significantly influence the outcome, potentially saving both limb and life</div></div>\",\"PeriodicalId\":53472,\"journal\":{\"name\":\"Radiology Case Reports\",\"volume\":\"21 1\",\"pages\":\"Pages 54-58\"},\"PeriodicalIF\":0.0000,\"publicationDate\":\"2025-10-04\",\"publicationTypes\":\"Journal Article\",\"fieldsOfStudy\":null,\"isOpenAccess\":false,\"openAccessPdf\":\"\",\"citationCount\":\"0\",\"resultStr\":null,\"platform\":\"Semanticscholar\",\"paperid\":null,\"PeriodicalName\":\"Radiology Case Reports\",\"FirstCategoryId\":\"1085\",\"ListUrlMain\":\"https://www.sciencedirect.com/science/article/pii/S193004332500843X\",\"RegionNum\":0,\"RegionCategory\":null,\"ArticlePicture\":[],\"TitleCN\":null,\"AbstractTextCN\":null,\"PMCID\":null,\"EPubDate\":\"\",\"PubModel\":\"\",\"JCR\":\"Q4\",\"JCRName\":\"Medicine\",\"Score\":null,\"Total\":0}","platform":"Semanticscholar","paperid":null,"PeriodicalName":"Radiology Case Reports","FirstCategoryId":"1085","ListUrlMain":"https://www.sciencedirect.com/science/article/pii/S193004332500843X","RegionNum":0,"RegionCategory":null,"ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"","PubModel":"","JCR":"Q4","JCRName":"Medicine","Score":null,"Total":0}
Imaging-guided diagnosis and treatment of severe deep thigh infection: Key considerations for limb-salvage over disarticulation
Deep thigh infections can rapidly escalate to life-threatening sepsis, necessitating a multidisciplinary treatment approach. While successive debridements are crucial for removing necrotic tissue, in some cases, they may be insufficient, making more aggressive procedures like hip disarticulation a consideration. However, even in severe infections, a conservative approach can sometimes be successful, as demonstrated in our case report. This highlights the importance of not making quick decisions based solely on radiological and biological data; intraoperative findings and the patient's overall condition can significantly influence the outcome, potentially saving both limb and life
期刊介绍:
The content of this journal is exclusively case reports that feature diagnostic imaging. Categories in which case reports can be placed include the musculoskeletal system, spine, central nervous system, head and neck, cardiovascular, chest, gastrointestinal, genitourinary, multisystem, pediatric, emergency, women''s imaging, oncologic, normal variants, medical devices, foreign bodies, interventional radiology, nuclear medicine, molecular imaging, ultrasonography, imaging artifacts, forensic, anthropological, and medical-legal. Articles must be well-documented and include a review of the appropriate literature.