Retroperitoneal necrotizing fasciitis secondary to Fournier’s gangrene

A 91-year-old woman with a past medical history of hypertension and hyperlipidemia was referred by her family physician to our Emergency Department (ED) for suspected appendicitis. She complained of 1 week history of right iliac fossa pain, subjective fever, and anorexia. The pain was colicky, with no radiation, and was associated with some urinary frequency. She had been healthy prior to this episode. At triage, she had a pulse rate of 88 beats/min, blood pressure of 98/56, and a temperature of 35.9°C. Examination of the abdomen revealed right iliac fossa tenderness together with guarding and rebound tenderness extending to the right flank and back. There were no external signs of a cutaneous infection such as warmth, erythema, crepitus, or open wounds. Initial blood investigations revealed a raised white count of 25 × 10 9 /L (normal range, 4-10 × 10 9 cells/L) with neutrophilia, and a C-reactive protein level of 277 mg/L (0.2-9.1 mg/L). Her lactate was elevated at 4.4 mg/dL. Microscopic urinalysis was unremarkable and an erect chest radiograph showed no free air. A computed tomography (CT) scan of her abdomen and pelvis was ordered and revealed a large multi-loculated right iliopsoas abscess, measuring 7.0 cm by 22.0 cm by 12.5 cm, spreading in the retroperitoneal space from the

show abstract

scite is a Brooklyn-based organization that helps researchers better discover and understand research articles through Smart Citations–citations that display the context of the citation and describe whether the article provides supporting or contrasting evidence. scite is used by students and researchers from around the world and is funded in part by the National Science Foundation and the National Institute on Drug Abuse of the National Institutes of Health.

Contact Info

customersupport@researchsolutions.com

10624 S. Eastern Ave., Ste. A-614

Henderson, NV 89052, USA

This site is protected by reCAPTCHA and the Google Privacy Policy and Terms of Service apply.

Blog Terms and Conditions API Terms Privacy Policy Contact Cookie Preferences Do Not Sell or Share My Personal Information

Made with 💙 for researchers

Part of the Research Solutions Family.

Retroperitoneal necrotizing fasciitis secondary to Fournier’s gangrene

Cited by 2 publications

References 9 publications

Fournier gangrene: pictorial review

Fournier gangrene: pictorial review

A rare and fatal cause of right iliac fossa pain—When retroperitoneal necrotizing fasciitis masquerades as acute appendicitis: A case report and review of recent reported cases

Contact Info

Product

Resources

About