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CASE REPORT
Case of retroperitoneal necrotising fasciitis: a rare and deadly spread
  1. Saad Ikram1,
  2. Deepak Satyapal1,
  3. Geeta Kaur2 and
  4. Ajay Dabra3
  1. 1 General Surgery, Northern Lincolnshire and Goole Hospitals NHS Foundation Trust, Scunthorpe, UK
  2. 2 Department of Surgery, Northern Lincolnshire and Goole Hospitals NHS Foundation Trust, Scunthorpe, UK
  3. 3 Radiology, Northern Lincolnshire and Goole Hospitals NHS Foundation Trust, Scunthorpe, UK
  1. Correspondence to Mr Saad Ikram, drsikram{at}hotmail.com

Abstract

Necrotising fasciitis (NF) is a potentially lethal spread of infection that is uncommonly seen within the province of surgery. Seen mostly in the extremities and the perineal regions, it has been reported rarely to involve the retroperitoneal space and presents with a spectrum of symptoms and signs as such. Literature supports classification of NF based on the microbes involved. Irrespective of the aetiology and the causative organism, NF remains a serious surgical emergency with high morbidity and mortality not only associated with the disease process itself, but also with the extensive surgical debridement it requires in its management along with antimicrobial administration. We present a case of such an infection found in the retroperitoneal space secondary to a perineal infection forming a rare presentation of this deadly process, and how it was successfully managed secondary to timely surgical intervention.

  • infections
  • general surgery
  • gas/free gas
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Footnotes

  • Contributors SI and DS were first contact with the patient and were involved in preoperative and postoperative management of the patient including preparing the patient for emergency surgery. SI did the literature research and came up with the write up of the manuscript. GK performed the initial and final surgery and was clinician in-charge of the patient. DS and GK proof read the manuscript. AD assisted with radiology images.

  • Funding The authors have not declared a specific grant for this research from any funding agency in the public, commercial or not-for-profit sectors.

  • Competing interests None declared.

  • Provenance and peer review Not commissioned; externally peer reviewed.

  • Patient consent for publication Obtained.

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