Publications by authors named "Nicholas Bahl"

2 Publications

  • Page 1 of 1

A Case of Necrotizing Soft Tissue Infection Secondary to Perforated Colon Cancer.

Cureus 2021 Sep 2;13(9):e17663. Epub 2021 Sep 2.

Surgery, Largo Medical Center, Largo, USA.

Necrotizing soft tissue infections are aggressive infections that cause necrosis of muscle, fascia, and tissue. They typically follow fascial planes that lack insufficient blood supply. Early drainage and debridement are essential for survival in these patients. This is a case of a patient who presented in diabetic ketoacidosis with a necrotizing soft tissue infection localized to the left flank and abdomen with underlying colon cancer pathology. The patient was a 54-year-old female who initially presented with acute dyspnea and left flank pain for two weeks. On admission, she was afebrile, tachycardic, tachypneic, and hypertensive. After being transferred to the ICU for diabetic ketoacidosis management, she began complaining of left abdominal pain and the CT showed concerns for a possible necrotizing soft tissue infection in the left flank region. She was taken to the operating room immediately for debridement and started on broad-spectrum antibiotics. The next day, an exploratory laparotomy was performed with a hemicolectomy and creation of an end colostomy due to concern for a perforated colonic malignancy. A final debridement was completed and a wound vacuum-assisted closure (VAC) was placed. Final pathology demonstrated well-differentiated colonic adenocarcinoma invading into the muscularis propria. Overall, necrotizing soft tissue infections can be related to a perforated viscus especially a colonic malignancy and this case demonstrates the importance of proper surgical management and high clinical suspicion for possible underlying pathology in a soft tissue infection.
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http://dx.doi.org/10.7759/cureus.17663DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC8487249PMC
September 2021

Local Access to Family Planning Services and Female High School Dropout Rates.

Obstet Gynecol 2016 07;128(1):207

Department of Obstetrics and Gynecology, Lincoln Medical and Mental Health Center, Bronx, New York.

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http://dx.doi.org/10.1097/AOG.0000000000001501DOI Listing
July 2016
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