PMC6329015_01
Muscle recovery and extensive dermal gangrene 48 h after fasciotomy.
10.1177_2050313X18823090-fig1.jpg
PMC6329015_01_10.1177_2050313X18823090-fig1.jpg
fig1-2050313X18823090
Minimal pus was found, though the dermal gangrene had extended to include most of the upper limb and the chest up to the level of the xiphoid process (Figure 1).
Posterior-anterior chest x-ray showing mediastinal widening.
10.1177_2050313X18823090-fig2.jpg
PMC6329015_01_10.1177_2050313X18823090-fig2.jpg
fig2-2050313X18823090
Chest x-ray showed widening of the mediastinum with clear lung fields (Figure 2).
Repeat posterior-anterior chest x-ray showing resolution of mediastinal widening.
10.1177_2050313X18823090-fig3.jpg
PMC6329015_01_10.1177_2050313X18823090-fig3.jpg
fig3-2050313X18823090
A week later, the chest pain and cough decreased, and the mediastinum pus drainage ceased with repeat x-rays showing resolution of the mediastinal widening (Figure 3).
The wound immediately prior to reconstruction.
10.1177_2050313X18823090-fig4.jpg
PMC6329015_01_10.1177_2050313X18823090-fig4.jpg
fig4-2050313X18823090
Wound reconstruction was performed 22 days post admission (Figure 4).
Wound healing 5 days post reconstruction.
10.1177_2050313X18823090-fig5.jpg
PMC6329015_01_10.1177_2050313X18823090-fig5.jpg
fig5-2050313X18823090
Graft wounds were exposed on day 5 with good take of the graft except 0.5% TBSA on the back that sheared off earlier during movement of the child on the ward and dehiscence of the lower neck sutured wound (Figure 5).