Retroperitoneal necrotizing fasciitis with the involvement of the anterior abdominal wall following perianal abscess.

Journal of Surgical Case Reports
Metasebia W Abebe, Mary Mesfin Nigussie

Abstract

Necrotizing fasciitis (NF) is a life-threatening infection, which requires immediate debridement and broad-spectrum antibiotic treatment. Delay in prompt diagnosis and operative debridement is associated with significant morbidity and mortality. Retroperitoneal NF is a rare condition whereby the infection within the pelvis or retroperitoneum rapidly expands over the fascial planes to involve the anterior abdominal wall (AW), the thighs and the buttocks. It presents a challenge for surgical access due to the anatomic depth of the structures and may result in extensive soft tissue loss requiring complex AW reconstruction for closure. The case discussed here is a 43-year-old female with a perianal abscess that progressed to retroperitoneal and anterior AW NF with intra-peritoneal abscess collection requiring bilateral tensor fascia-lata graft for the closure of the anterior AW fascia defect.

References

Feb 13, 2009·Tropical Doctor·Abdul Alvi, Ghina Shamsi
Feb 21, 2009·Journal of the American College of Surgeons·Babak SaraniC William Schwab
Jun 15, 2010·The Journal of Hospital Infection·M S Morgan
Feb 14, 2015·International Journal of Colorectal Disease·Mahdi BouassidaMohamed M'saddak Azzouz
Oct 30, 2016·International Journal of Surgery Case Reports·Anya RomanoffTomas Heimann
Jan 16, 2018·Case Reports in Surgery·Samuel B WeimerKevin N Foster
Oct 28, 2018·International Journal of Surgery Case Reports·Lotfi RebaiInes Boussaidi

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