Necrotizing Fasciitis Following Hysterectomy: A Case Report

Abstract

Necrotizing fasciitis is a life-threatening, rapidly progressive bacterial infection that involves the subcutaneous tissues and fascias. A 45 years old obese, nulligravid woman who had diabetes mellitus, hyperlipidemia and coronary artery disease was hysterectomized for leiomyoma and abnormal uterine bleeding. Following the operation in the 6th postoperative day necrotizing fasciitis developed and skin, subcutaneous tissues, and fascia were excised widely. After excision, the intestines were packaged with Bogota Bag and the abdomen was left open. The patient was followed with antibiotics, daily wound dressing, and re-debridement when necessary. In postoperative 35th day the patient was discharged from the hospital. In gynecology necrotizing fasciitis is rare and a successfully managed case is presented.




doi:10.4021/jcgo4w