Necrotizing Fasciitis Due to Acute Perforated Appendicitis: Case Report

Chen, Chuang-Wei; Hsiao, Cheng–Wen; Wu, Chang-Chieh; Jao, Shu-Wen; Lee, Tsai‐Yu; Kang, Jung-Chen

doi:10.1016/j.jemermed.2007.09.026

Cited by 20 publications

(25 citation statements)

References 13 publications

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“…The case in this report was classified as type 1 and involved necrotizing fasciitis as a preoperative complication of appendicitis. We found only 12 case reports of patients with necrotizing fasciitis caused by appendicitis published in the English literature and cited in Pub Med (Table 1) [3, 5–15]. Four of these patients were male and nine, female, and their ages ranged from 28 to 85-years old (mean age: 66-years old).…”

Section: Discussionmentioning

confidence: 99%

Necrotizing fasciitis caused by a primary appendicocutaneous fistula

et al. 2012

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We report a case of necrotizing fasciitis in the loin of a 76-year old man with several coexisting or past health issues, including diabetes mellitus, hypertension, alcohol-related liver cirrhosis, gastrectomy for gastric cancer, subarachnoid hemorrhage, normal pressure hydrocephalus, and cerebral infarction. Incision of the necrotizing fasciitis was successful, but it revealed an appendicocutaneous fistula; thus, we performed appendectomy and fistulectomy. We think that the necrotizing fasciitis was caused by appendicitis perforation involving the retroperitoneum, inducing the formation of an appendicocutaneous fistula. Necrotizing fasciitis and appendicocutaneous fistulae are rare complications of appendicitis. Moreover, to our knowledge, this is the first report of fluoroscopic examination demonstrating that a primary appendicocutaneous fistula had caused necrotizing fasciitis. Our search of the literature found 12 cases of necrotizing fasciitis caused by preoperative appendicitis. We discuss the characteristics and findings of these cases.

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Section: Discussionmentioning

confidence: 99%

Necrotizing fasciitis caused by a primary appendicocutaneous fistula

et al. 2012

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“…The diagnosis is often delayed due to the unusual presentation of this common disease. Necrotizing fasciitis is a life-threatening event, which requires immediate debridement and broad-spectrum antibiotic treatment, as delay in operative debridement is associated with significant mortality [2]. To date, 14 cases of necrotizing fasciitis as a result of acute perforated appendicitis in adults have been described in the English literature [2], [3].…”

Section: Discussionmentioning

confidence: 99%

A case report of necrotizing fasciitis of the abdominal wall: A rare, life-threatening complication of a common disease process

Romanoff

Freed

Heimann

2016

International Journal of Surgery Case Reports

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“…[10] Another rare presentation of acute perforated appendicitis as necrotizing fascitis has also been reported. [11] Infected rectus muscle haematoma which occurs due to inferior epigastric artery tear will also present as anterior abdominal wall abscess. [12] Many patients present with appendicular mass, perforation and abscess because they seek late advice for treatment.…”

Section: Discussionmentioning

confidence: 99%