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CC BY-NC-ND 4.0 · Arch Plast Surg 2022; 49(05): 608-610
DOI: 10.1055/s-0042-1756288
Breast/Trunk: Case Report

A Peculiar Case of Ischemic Fasciitis Appeared on a Pressure Ulcer after 10 Days of Negative Pressure Wound Therapy

Vania Recchi 
1   Clinic of Plastic and Reconstructive Surgery, Marche Polytechnic University Medical School, Ancona, Italy
,
Benedetta Peltristo 
1   Clinic of Plastic and Reconstructive Surgery, Marche Polytechnic University Medical School, Ancona, Italy
,
Davide Talevi 
1   Clinic of Plastic and Reconstructive Surgery, Marche Polytechnic University Medical School, Ancona, Italy
,
Alessandro Scalise 
1   Clinic of Plastic and Reconstructive Surgery, Marche Polytechnic University Medical School, Ancona, Italy
,
Giovanni Di Benedetto 
1   Clinic of Plastic and Reconstructive Surgery, Marche Polytechnic University Medical School, Ancona, Italy
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Abstract

In this article, we reported a single case of ischemic fasciitis in a young woman with a progressive immobilization due to a multifocal demyelinating disease of central nervous system, which appeared on an extensive pressure ulcer of the sacral region treated with 10 days of negative-pressure wound therapy (NPWT). Wound examination revealed a significant nontender brown neoformation (9 cm in length × 10 cm in width × 7 cm in height), fixed to the sacrum, presenting hard consistency, and grown in the central portion of the sacral pressure sore. The histologic examination showed central fibrinoid necrosis, and vascular and atypical fibroblastic proliferations, and a diagnosis of ischemic fasciitis was made. Ischemic fasciitis is a rare benign proliferation of atypical fibroblasts that occurs in physically weak patients with reduced mobility. In the literature, the relationship between the use of NPWT on pressure ulcers and the development of ischemic fasciitis is, to the best of our knowledge, not described yet.

Keywords

ischemic fasciitis - pseudosarcomatous - pressure ulcer - negative-pressure wound therapy - plastic surgery

Disclosure

None of the authors has a financial interest in any of the products, devices, or drugs mentioned in this manuscript.


Authors' Contributions

Conceptualization: V.R., B.P., D.T., A.S., G.D.B.

Data curation: V.R., B.P., D.T., A.S., G.D.B.

Formal analysis: V.R., B.P., D.T., A.S., G.D.B.

Methodology: V.R., B.P., D.T., A.S., G.D.B.

Project administration: V.R., B.P., D.T., A.S., G.D.B.

Visualization: V.R., B.P., D.T., A.S., G.D.B.

Writing – original draft: V.R., B.P., D.T., A.S., G.D.B.

Writing – review & editing: V.R., B.P., D.T., A.S., G.D.B.


Ethical Approval

The informed consent was obtained from the patient.


Note

This article was presented at the Congress of the Italian Society of Plastic Surgery (SICPRE) 2021 in virtual edition.




Publikationsverlauf

Eingereicht: 11. November 2021

Angenommen: 24. Januar 2022

Artikel online veröffentlicht:
23. September 2022

© 2022. The Korean Society of Plastic and Reconstructive Surgeons. This is an open access article published by Thieme under the terms of the Creative Commons Attribution-NonDerivative-NonCommercial License, permitting copying and reproduction so long as the original work is given appropriate credit. Contents may not be used for commercial purposes, or adapted, remixed, transformed or built upon. (https://creativecommons.org/licenses/by-nc-nd/4.0/)

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  • References

  • 1 Montgomery EA, Meis JM, Mitchell MS, Enzinger FM. Atypical decubital fibroplasia. A distinctive fibroblastic pseudotumor occurring in debilitated patients. Am J Surg Pathol 1992; 16 (07) 708-715
    CrossrefPubMedSuche in Google Scholar
  • 2 Ilaslan H, Joyce M, Bauer T, Sundaram M. Decubital ischemic fasciitis: clinical, pathologic, and MRI features of pseudosarcoma. AJR Am J Roentgenol 2006; 187 (05) 1338-1341
    CrossrefPubMedSuche in Google Scholar
  • 3 Baldassano MF, Rosenberg AE, Flotte TJ. Atypical decubital fibroplasia: a series of three cases. J Cutan Pathol 1998; 25 (03) 149-152
    CrossrefPubMedSuche in Google Scholar
  • 4 Lehmer LM, Moore JB, Ragsdale BD. Ischemic fasciitis: enhanced diagnostic resolution through clinical, histopathologic and radiologic correlation in 17 cases. J Cutan Pathol 2016; 43 (09) 740-748
    CrossrefPubMedSuche in Google Scholar
  • 5 Liegl B, Fletcher CD. Ischemic fasciitis: analysis of 44 cases indicating an inconsistent association with immobility or debilitation. Am J Surg Pathol 2008; 32 (10) 1546-1552
    CrossrefPubMedSuche in Google Scholar
  • 6 Sayeed SM, Tyrell R, Glickman LT. Management of recurrent ischemic fasciitis, a rare soft tissue pseudosarcoma. Arch Plast Surg 2014; 41 (01) 89-90
    Thieme ConnectPubMedSuche in Google Scholar