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Case Reports
Necrotizing fasciitis of the abdominal wall following an emergency colostomy: a case report.
- D Massalou and P Baqué.
- UHCD Chirurgie, Pôle Urgences adultes-SAMU-SMUR, Hôpital St Roch, CHU de Nice, Nice, France. damien.massalou@wanadoo.fr
- Acta Chir Belg. 2011 Mar 1; 111 (2): 100-2.
AbstractNecrotizing soft-tissue infections (NSTIs) are acute surgical conditions that demand prompt and multi-faceted treatment. Early recognition, appropriate resuscitation measures, aggressive surgical debridement, and targeted antimicrobial therapy significantly affect the overall outcome and survival of NSTI patients. Necrotizing fasciitis refers to a particular type of NSTI, where necrosis of the skin, subcutaneous tissue and fascia is predominant and there is very little muscle involvement. A 51-year-old woman presented with necrotizing fasciitis of the abdominal wall following colostomy for obstructive colon carcinoma. In this particular case, stoma relocation was necessary because of the need for large parietal surgical debridement.
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