Abdominal wall necrotising fasciitis secondary to fish bone ingestion

Lo, S; Leung, Siu Lan; Tang, Chung Ngai

doi:10.1093/jscr/rjv078

Cited by 1 publication

(1 citation statement)

References 4 publications

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“…Moreira et al [4], reported perirectal abscess caused by a chicken bone, but extensive NF caused by bowel perforation is still rare. In fact, the incidence of gastrointestinal perforation among foreign body ingestion cases is reported to be less than 1% [5]. When bowel perforation does occur, it can cause abscess formation due to infection.…”

Section: Introductionmentioning

confidence: 99%

Necrotizing Fasciitis on the Abdomen, Perineal Area and Thigh after Panperitonitis

2019

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Necrotizing fasciitis (NF) is a rare and rapidly progressive disease involving the skin, subcutaneous tissue, and deep soft tissue. A 76-year-old man presented to the emergency room with melena. Abdominopelvic angiographic computed tomography (CT) revealed a foreign body with calcific density in the ascending colon. Explorative operation was performed, and the foreign body observed on CT was identified to be a chicken bone. Mucosal tearing was found in the ascending colon, and right hemicolectomy was performed. Two days postoperatively, leakage from the anastomosis site was noted and eventually progressed to panperitonitis. One week later, the patient's skin and soft tissue changed to a purplish color, and swelling was observed. As the area gradually increased, a foul odor and purulent discharge were noted. We diagnosed this patient as having NF, and debridement and antibiotic treatment were started. Extendedspectrum β-lactamases positive Escherichia coli were identified in the excised tissue. After infection subsided, we reconstructed the defect with mesh split-thickness skin graft. The patient recovered without any postoperative complications. NF is an invasive infection that requires prompt diagnosis and treatment. Here, we report successful reconstruction of secondary NF caused by E. coli.

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Section: Introductionmentioning

confidence: 99%