Necrotising fasciitis of the abdominal wall


Necrotising fasciitis of the abdominal wall


KJ Williams

Surgical Registrar, Kingston Hospital NHS Trust, UK


International-Journal-of-Case-Reports-2d code

A 53 year old gentlemen, with a history of intravenous drug use, presented to the Emergency Department in septic shock with an acute abdomen. He had been recently treated with dalteparin for a deep venous thrombosis of his left leg. He was resuscitated with fluids and antibiotics, and cross-sectional imaging suggested a diagnosis of necrotising fasciitis of the abdominal wall. He was admitted to ITU, and a laparotomy, abdominal washout, muscle debridement and laparostomy was performed overnight. No bowel perforation or contamination was identified. Over the next few weeks he underwent multiple debridements, and a negative pressure abdominal dressing was utilised. After a prolonged rehabilitation phase he was discharged home to live independently. He is currently in discussion with the plastics team regarding reconstruction of his abdominal wall. We would like to stress the importance of consideration of necrotising fasciitis as a diagnosis in the context of a critically unwell and septic patient with a history of subcutaneous/intravenous medication usage.


Keywords: Necrotising fasciitis, abdominal wall


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How to cite this article:

KJ Williams. Necrotising fasciitis of the abdominal wall. International Journal of Case Reports, 2020 4:122. DOI: 10.28933/ijcr-2020-01-1806


References:

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