Management of a giant carbuncle on the posterior trunk with excision and grafting Authors Muhammad Usman Akram Department of General Surgery, Akbar Niazi Teaching Hospital and Islamabad Medical and Dental College, Islamabad, Pakistan Hafsa Atique Akbar Niazi Teaching Hospital and Islamabad Medical and Dental College, Islamabad, Pakistan Saad Siddiqui Department of Plastic Surgery, Akbar Niazi Teaching Hospital and Islamabad Medical and Dental College, Islamabad, Pakistan Sohaib Haider Department of General Surgery, Akbar Niazi Teaching Hospital and Islamabad Medical and Dental College, Islamabad, Pakistan Ahmed Raza Department of General Surgery, Akbar Niazi Teaching Hospital and Islamabad Medical and Dental College, Islamabad, Pakistan Naveed Arshad Department of Rehabilitation Sciences, Akbar Niazi Teaching Hospital and Islamabad Medical and Dental College, Islamabad, Pakistan https://orcid.org/0000-0003-1143-8959 DOI: https://doi.org/10.47391/JPMA.011651 Abstract Carbuncle is a painful subcutaneous mass of infected hair follicles with a purulent discharge. It has predisposition in conditions like diabetes, immune-compromised states, chronic skin diseases etc. The authors present a case of a 67 year old diabetic male with a giant carbuncle on his back. Due to its large size, systemic co-morbidity and increased risk of complications in surgical treatment, a multi-disciplinary team approach was employed. Both general and plastic surgery were involved, who performed excision and soft tissue coverage respectively. Aim of the surgical intervention methods, like wide excision and debridement, application of vacuum assisted wound closure (VAC) and skin grafting was to minimize the healing time and risk of development of post-operative infection. The patient was surgically managed and sent home in a good condition. Continuous.... Author Biographies Muhammad Usman Akram, Department of General Surgery, Akbar Niazi Teaching Hospital and Islamabad Medical and Dental College, Islamabad, Pakistan FCPS (General surgery), MRCSed, MRCS (Glasg) Senior registrar Hafsa Atique, Akbar Niazi Teaching Hospital and Islamabad Medical and Dental College, Islamabad, Pakistan MBBS, Under graduate student Saad Siddiqui, Department of Plastic Surgery, Akbar Niazi Teaching Hospital and Islamabad Medical and Dental College, Islamabad, Pakistan FCPS (Plastic surgery) Senior registrar Sohaib Haider, Department of General Surgery, Akbar Niazi Teaching Hospital and Islamabad Medical and Dental College, Islamabad, Pakistan FCPS (General surgery) Assistant professor Ahmed Raza, Department of General Surgery, Akbar Niazi Teaching Hospital and Islamabad Medical and Dental College, Islamabad, Pakistan FCPS, MRCS (England), (General surgery) Professor of surgery Naveed Arshad, Department of Rehabilitation Sciences, Akbar Niazi Teaching Hospital and Islamabad Medical and Dental College, Islamabad, Pakistan Assistant Professor, Rehabilitation Sciences (Medicine) Department Downloads Full Text Article Published 2021-11-29 How to Cite Akram, M. U., Atique, H., Siddiqui, S., Haider, S., Raza, A., & Arshad, N. (2021). Management of a giant carbuncle on the posterior trunk with excision and grafting. Journal of the Pakistan Medical Association, 71(11), 2665–2668. https://doi.org/10.47391/JPMA.011651 More Citation Formats ACM ACS APA ABNT Chicago Harvard IEEE MLA Turabian Vancouver Download Citation Endnote/Zotero/Mendeley (RIS) BibTeX Issue Vol. 71 No. 11 (2021): NOVEMBER Section CASE REPORT