Penetrating anorectal trauma and hematogenous sepsis: A rare trigger for necrotizing pneumonia

Penetrating anorectal and perineal injuries, though rare, present significant management challenges due to the complex anatomy and high risk of life-threatening complications, such as necrotizing pneumonia. This case report details a neglected anorectal trauma, which, after hematogenous spread of St...

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Main Authors: Joud Boutaleb, MD, Zaynab Iraqi Houssaini, MD, PHD, Loubaris Sarah, MD, Beqqali Basma, MD, El Aoufir Omar, MD, PhD, Jroundi Laila, MD, PhD, Messaoud Ola, MD, PhD
Format: Article
Language:English
Published: Elsevier 2025-08-01
Series:Radiology Case Reports
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Online Access:http://www.sciencedirect.com/science/article/pii/S1930043325003978
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author Joud Boutaleb, MD
Zaynab Iraqi Houssaini, MD, PHD
Loubaris Sarah, MD
Beqqali Basma, MD
El Aoufir Omar, MD, PhD
Jroundi Laila, MD, PhD
Messaoud Ola, MD, PhD
author_facet Joud Boutaleb, MD
Zaynab Iraqi Houssaini, MD, PHD
Loubaris Sarah, MD
Beqqali Basma, MD
El Aoufir Omar, MD, PhD
Jroundi Laila, MD, PhD
Messaoud Ola, MD, PhD
author_sort Joud Boutaleb, MD
collection DOAJ
description Penetrating anorectal and perineal injuries, though rare, present significant management challenges due to the complex anatomy and high risk of life-threatening complications, such as necrotizing pneumonia. This case report details a neglected anorectal trauma, which, after hematogenous spread of Staphylococcus aureus, led to severe sepsis and fatal necrotizing pneumonia. The infection, originating from the trauma site, spread through the bloodstream, resulting in widespread pulmonary tissue destruction. Early diagnosis, aggressive intervention, and a multidisciplinary approach are crucial for improving survival rates. Despite intensive care, preventing sepsis and multi-organ failure remains a formidable challenge in these cases.
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issn 1930-0433
language English
publishDate 2025-08-01
publisher Elsevier
record_format Article
series Radiology Case Reports
spelling doaj-art-1644fe81e8fa4e8f87bf77c3a48573fc2025-08-20T03:10:28ZengElsevierRadiology Case Reports1930-04332025-08-012084037404110.1016/j.radcr.2025.04.099Penetrating anorectal trauma and hematogenous sepsis: A rare trigger for necrotizing pneumoniaJoud Boutaleb, MD0Zaynab Iraqi Houssaini, MD, PHD1Loubaris Sarah, MD2Beqqali Basma, MD3El Aoufir Omar, MD, PhD4Jroundi Laila, MD, PhD5Messaoud Ola, MD, PhD6Corresponding author.; Emergency Radiology Department, Ibn Sina University Hospital Center, Rabat, MoroccoEmergency Radiology Department, Ibn Sina University Hospital Center, Rabat, MoroccoEmergency Radiology Department, Ibn Sina University Hospital Center, Rabat, MoroccoEmergency Radiology Department, Ibn Sina University Hospital Center, Rabat, MoroccoEmergency Radiology Department, Ibn Sina University Hospital Center, Rabat, MoroccoEmergency Radiology Department, Ibn Sina University Hospital Center, Rabat, MoroccoEmergency Radiology Department, Ibn Sina University Hospital Center, Rabat, MoroccoPenetrating anorectal and perineal injuries, though rare, present significant management challenges due to the complex anatomy and high risk of life-threatening complications, such as necrotizing pneumonia. This case report details a neglected anorectal trauma, which, after hematogenous spread of Staphylococcus aureus, led to severe sepsis and fatal necrotizing pneumonia. The infection, originating from the trauma site, spread through the bloodstream, resulting in widespread pulmonary tissue destruction. Early diagnosis, aggressive intervention, and a multidisciplinary approach are crucial for improving survival rates. Despite intensive care, preventing sepsis and multi-organ failure remains a formidable challenge in these cases.http://www.sciencedirect.com/science/article/pii/S1930043325003978Penetrating anorectal injuryNecrotizing pneumoniaHematogenous spreadSepsisStaphylococcus aureus
spellingShingle Joud Boutaleb, MD
Zaynab Iraqi Houssaini, MD, PHD
Loubaris Sarah, MD
Beqqali Basma, MD
El Aoufir Omar, MD, PhD
Jroundi Laila, MD, PhD
Messaoud Ola, MD, PhD
Penetrating anorectal trauma and hematogenous sepsis: A rare trigger for necrotizing pneumonia
Radiology Case Reports
Penetrating anorectal injury
Necrotizing pneumonia
Hematogenous spread
Sepsis
Staphylococcus aureus
title Penetrating anorectal trauma and hematogenous sepsis: A rare trigger for necrotizing pneumonia
title_full Penetrating anorectal trauma and hematogenous sepsis: A rare trigger for necrotizing pneumonia
title_fullStr Penetrating anorectal trauma and hematogenous sepsis: A rare trigger for necrotizing pneumonia
title_full_unstemmed Penetrating anorectal trauma and hematogenous sepsis: A rare trigger for necrotizing pneumonia
title_short Penetrating anorectal trauma and hematogenous sepsis: A rare trigger for necrotizing pneumonia
title_sort penetrating anorectal trauma and hematogenous sepsis a rare trigger for necrotizing pneumonia
topic Penetrating anorectal injury
Necrotizing pneumonia
Hematogenous spread
Sepsis
Staphylococcus aureus
url http://www.sciencedirect.com/science/article/pii/S1930043325003978
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