Management of a giant carbuncle on the posterior trunk with excision and grafting

Authors

  • Muhammad Usman Akram Department of General Surgery, Akbar Niazi Teaching Hospital and Islamabad Medical and Dental College, Islamabad, Pakistan
  • Hafsa Atique Akbar Niazi Teaching Hospital and Islamabad Medical and Dental College, Islamabad, Pakistan
  • Saad Siddiqui Department of Plastic Surgery, Akbar Niazi Teaching Hospital and Islamabad Medical and Dental College, Islamabad, Pakistan
  • Sohaib Haider Department of General Surgery, Akbar Niazi Teaching Hospital and Islamabad Medical and Dental College, Islamabad, Pakistan
  • Ahmed Raza Department of General Surgery, Akbar Niazi Teaching Hospital and Islamabad Medical and Dental College, Islamabad, Pakistan
  • Naveed Arshad Department of Rehabilitation Sciences, Akbar Niazi Teaching Hospital and Islamabad Medical and Dental College, Islamabad, Pakistan https://orcid.org/0000-0003-1143-8959

DOI:

https://doi.org/10.47391/JPMA.011651

Abstract

Carbuncle is a painful subcutaneous mass of infected hair follicles with a purulent discharge. It has predisposition in conditions like diabetes, immune-compromised states, chronic skin diseases etc. The authors present a case of a 67 year old diabetic male with a giant carbuncle on his back. Due to its large size, systemic co-morbidity and increased risk of complications in surgical treatment, a multi-disciplinary team approach was employed. Both general and plastic surgery were involved, who performed excision and soft tissue coverage respectively. Aim of the surgical intervention methods, like wide excision and debridement, application of vacuum assisted wound closure (VAC) and skin grafting was to minimize the healing time and risk of development of post-operative infection. The patient was surgically managed and sent home in a good condition.

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Author Biographies

Muhammad Usman Akram, Department of General Surgery, Akbar Niazi Teaching Hospital and Islamabad Medical and Dental College, Islamabad, Pakistan

FCPS (General surgery), MRCSed, MRCS (Glasg)

Senior registrar

Hafsa Atique, Akbar Niazi Teaching Hospital and Islamabad Medical and Dental College, Islamabad, Pakistan

MBBS, Under graduate student

Saad Siddiqui, Department of Plastic Surgery, Akbar Niazi Teaching Hospital and Islamabad Medical and Dental College, Islamabad, Pakistan

FCPS (Plastic surgery)

Senior registrar

Sohaib Haider, Department of General Surgery, Akbar Niazi Teaching Hospital and Islamabad Medical and Dental College, Islamabad, Pakistan

FCPS (General surgery)

Assistant professor

Ahmed Raza, Department of General Surgery, Akbar Niazi Teaching Hospital and Islamabad Medical and Dental College, Islamabad, Pakistan

FCPS, MRCS (England), (General surgery)

Professor of surgery

Naveed Arshad, Department of Rehabilitation Sciences, Akbar Niazi Teaching Hospital and Islamabad Medical and Dental College, Islamabad, Pakistan

Assistant Professor,

Rehabilitation Sciences (Medicine) Department

Published

2021-11-29

Issue

Section

Case Report