Gangrene

by
Dr. Nimer Khraim
DVMS,BVMS, MVSc
 Gangrene
Gangrene
 It’s a death and putrefaction while
attached to living body

Necrosis
 Death of T. with absence of infection
 Gangrene
 Gangrene result from direct damage
to the T. cause by mechanical,
physical or chemical agent or by
bacteria

 Like
malignant edema, black leg dis.
Strept. and staph. Infection
 Gangrene
 Some time infiltration of T. with
certain liquid may lead to gangrene
formation like bile and urine
Clinically gangrene classified to
Clinically gangrene classified to
Dry gangrene

 This is mostly due to arterial occlusion

 Its like mummification of the T. which it

become dry and reduced in volume

 Putrefaction is always absent

Clinically gangrene classified to
Moist gangrene

 This mostly due to venous occlusion

 The dis. T. Become disintegrated and

liquefied

 the lesion contain volatile products of

very bad odor
Clinically gangrene classified to
 Alsomoist gangrene contain soluble
poison when it is absorbed to the
circulation it will cause a fatal
toxemia
Clinically gangrene classified to
Gas gangrene
 Its caused by many types of
anaerobic spore forming bacteria

 They produce gas from the lyses of

dead T. which appear as babble In
the infected T.

 Like malignant edema and black leg

Clinically gangrene classified to
Prognosis of gangrene

 Depend in the natural of the lesion which

may vary from a simple ulcer to the
sloughing of a large mass of a T.

 Gangrene is dangerous when the toxemia

is severe which may cause death due to
24h
Local symptoms of gangrene
 Local symptoms of gangrene
Dry gangrene

 TheT. become change in appearance

and diminish in volume

 The skin become shriveled

 The hair become dry and erect

 Local symptoms of gangrene
Moist gangrene

 The T. is become purple, greenish,

blackish in color and increase in volume
with engorged in blood and serum

 Pain is severe before death of the affected

part
 Local symptoms of gangrene
 Theaffected part become cold and
insensitive

 There
is a zone of demarcation
between he health and affected T.
Treatment of gangrene
 Treatment of gangrene
 Removal of the T.

 In case of moist gangrene we can

make scarification of T. with knife or
puncture the gangrenous T.

 to permit the escape of toxic liquid

and allowing the introduction of
antiseptic inside the lesion
 Treatment of gangrene
 Application of counter-irritant at the
periphery of the affected part

 This will cause increasing of hyperemia

and phagocytosis near the affected T.

 which accelerate the separation of the

moist or dry gangrene from the health T.
 Treatment of gangrene

 The
best treatment of gangrene is
amputation of the part from the body