PMC9772545_01
Pre-operative clinical documentations, a visible necrosis from penis to scrotum, some appears hyperemia without pus or active bleeding.
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The genital status showed visible necrosis from the penis to the scrotum, some appear hyperaemia without pus or active bleeding (Fig. 1).
CT-Scan of the patient showed dissection from the aortic arch to the abdominal aorta about 2 cm above the common iliac bifurcation, and proximal a. superior mesenteric (Stanford B, DeBakey III), with an intimal tear (inlet) at the level of the aortic arch about 2.3 cm distal to the branch of the left subclavian artery and thrombus in the false lumen of the abdominal aorta at infrarenal level causing occlusion of the distal abdominal aorta.
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The CT-Scan (Fig. 2) showed a dissection from the aortic arch to the abdominal aorta about 2 cm above the common iliac bifurcation, and proximal a. superior mesenteric (Stanford B, DeBakey III), with an intimal tear (inlet) at the level of the aortic arch about 2.3 cm distal to the branch of the left subclavian artery.
Post-operative clinical documentation, debridement was performed until healthy tissue is acquired and refreshed the borders of the previous incision and removing fibrotic tissue followed by open wound treatment.
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Debridement was performed until healthy tissue is acquired and refreshed the borders of the previous incision and removed fibrotic tissue (Fig. 3).