Abstract

HOYOS FRANCO, M.A.; POSSO ZAPATA, C.  and  CARDENAS, Y.A.. Stingray injury causing severe cutaneous necrosis: case report and literature review. Cir. plást. iberolatinoam. [online]. 2009, vol.35, n.4, pp.327-331. ISSN 1989-2055.

The purpose of this paper is to present our experience with one case of stingray injury, in a 25 years old man, while he was fishing, compromising his right feet at the internal malleolus. At the beginning he had severe pain, and during the first hours after the accident progressive edema was evident. He arrived to our hospital 24 hours later, when purulent discharge and eritem was obvious. Intravenous antibiotics were initiated and three surgical debridements where performed during the following week. After the process was complete, a soft tissue defect was created on the internal malleolus (7 x 5 cm). Reconstruction was achieved using a reverse internal saphenous flap that evolved satisfactorily. Severe skin injuries caused by stingrays (Myliobatidae) have been reported shortly in plastic surgery literature, because these lesions usually heal without surgical procedures. We review skin injury physiopathology, showing the different kind of lesions and management principles.

Keywords : Skin necrosis; Tissular reconstruction; Marine injuries.

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