Retroperitoneal necrotizing soft tissue infection post perforated diverticulitis: a rare case reiterating the need for caution in patients with delayed presentation

Retroperitoneal necrotizing soft tissue infections: A case report and literature review

“…Regarding the mortality, four of the 14 patients died while the rest were able to be discharged to home or rehabilitation centers. The details of the cases are elucidated in Table 1 8–20 . It is worth noting that six of the patients reported having abscess drainage along with debridement for necrotizing soft tissue infection, so may not have strictly fulfilled the diagnostic criteria.…”

“…Extensive literature review showed 14 cases of retroperitoneal necrotizing soft tissue infections from 13 case reports and one case series. [8][9][10][11][12][13][14][15][16][17][18][19][20] The age of the patients ranged from 21 to 67 years with mean age of 48 years of age. Males were predominant with 11 of the 14 reported cases.…”

“…The details of the cases are elucidated in Table 1. [8][9][10][11][12][13][14][15][16][17][18][19][20] It is worth noting that six of the patients reported having abscess drainage along with debridement for necrotizing soft tissue infection, so may not have strictly fulfilled the diagnostic criteria. In addition, the low mortality rate we have gathered may have been a subject of bias in publication of successfully managed cases only by authors and not a reflection of a real-world mortality rate of the condition.…”