Severe necrotizing fasciitis of the abdominal wall secondary to colon perforation in a child

Hsin Lin Tsai, Chin Su Liu, Jei Wen Chang, Chou Fu Wei, Jin Teh Lin, Tai Wai Chin*

*Corresponding author for this work

Research output: Contribution to journalArticlepeer-review

4 Scopus citations

Abstract

We discuss the successful saving of an 18-month-old boy with necrotizing fasciitis of the abdominal wall secondary to colon perforation and peritonitis. The patient underwent emergency surgery with exploratory laparotomy, repeated procedures of debridement, and reconstructive abdominal wall surgery with skin graft. He recovered 6 months after admission. We also address the issue of the closure of large abdominal wall defect and the importance of alimentation in this patient group. We discuss the need to recognize necrotizing fasciitis as a potential complication of intra-abdominal disease, as once necrotizing fasciitis occurs, mortality is more likely. We conclude that recognition and aggressive surgical debridement is mandatory.

Original languageEnglish
Pages (from-to)259-261
Number of pages3
JournalJournal of the Chinese Medical Association
Volume71
Issue number5
DOIs
StatePublished - May 2008

Keywords

  • Necrotizing fasciitis
  • Split thickness skin graft

Fingerprint

Dive into the research topics of 'Severe necrotizing fasciitis of the abdominal wall secondary to colon perforation in a child'. Together they form a unique fingerprint.

Cite this