Introduction. Necrotizing soft tissue infection is a severe, life threatening infection, with high mortality rate, especially in patients with comorbidities. Case report. We are presenting a 53-year-old female patient with diabetes mellitus and a severe infection of the anterior abdominal wall resulting from a vulval infection. The treatment consisted of an extensive excision of the abdominal wall necrosis and surgical eradication of the deep infection source, hyperbaric oxygen therapy, and antibiotic conservative therapy. Conclusion. Prompt diagnosis, aggressive medical treatment and radical surgical debridement, as soon as possible, are the key to successful treatment.

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Primarni tuberkulozni peritonitis- ApstraktTuberkulozni peritonitis je specifično zapaljensko oboljenje peritoneuma, retko u razvijenim zemljama, češće u zemljama u razvoju. Tegobe obično imaju hronični karakter, a pojava ascita je često početni simptom bolesti. simptomatologija može biti nekarakteristična. Najčešće se javlja anoreksija, mršavl-jenje, tišteći bolovi u trbuhu i subfebrilna temperatura. Prikazan 23-godišnji pacijent, je nakon elektivne operacije desne ingvinalne kile, kada su uočene promene na peritoneumu i omentumu i evakuisano 2l ascita, primljen u Kliniku za Urgentnu hirurgiju Kliničkog Centra srbije, Beograd na dalji dijagnostičko-terapijski tretman. Pacijent je kao glavne tegobe naveo povremene blage bolove u trbuhu, nadutost, malaksalost i opštu slabost. radiografija grudnog koša je pokazala manji pleuralni izliv u organizaciji desno i laminarnu atelektazu u donjem plućnom polju desno. Na urađenim EHO i MsCT abdomena vidljiva lako uvećana jetra, sa diskretnom dilatacijom intrahepatičkih žučnih vodova, kalkulozna holecista. Portna i lijenalna vena dilatirane, slezina uvećana. subfrenično desno i interintestinalno prisutna bistra tečnost. Ostali nalaz uredan. Izvedena eksplorativna laparotomija. Histopatološkim pregledom, na isečcima peritoneuma, potvrđene promene karakteristične za tuberkulozni peritonitis. s obzirom na postojanje nespecifične kliničke slike, laboratorijskih i radiografskih dijagnostičkih metoda, hirurgija igra značajnu ulogu u dijagnostici i terapiji abdominalnih formi tuberkuloze. AbstractTuberculous peritonitis is a specific inflammatory disease of the peritoneum, rare in developed countries, often in developing countries. symptoms usually have a chronic character and appearance of ascites is often the initial symptom of the disease. symptomatology may not be typical. It occurs most often anorexia, weight loss, abdominal pain and subfebrile temperaturePresented 23-year-old patient, after elective surgery on the right inguinal hernia, when the changes in the peritoneum and omentum were observed and 2l of ascites were evacuated, was admitted to Hospital for emergency surgery, Clinical Centre of serbia, Belgrade for further diagnostic and therapeutic treatment. The patient noted occasional mild abdominal pain, bloating, fatigue and general weakness.Chest radiography showed a small pleural effusion in the right and laminar athelectasis in the lower right lung field. On performed EHO and MsCT of the abdomen is visible easily enlarged liver, with a discrete dilation of intrahepatic bile ducts, gallbladder with calculuses. Portal and spleen vein dilated, enlarged spleen. right subphrenic and interintestinally present clear liquid. Other findings in order.Exploratory laparotomy was perfomed. Histopathological examination, of the slices of the peritoneum, confirmed changes typical for tuberculous peritonitis.Key words: tuberculous peritonitis, primary infection, ascites UvodPod pojmom peritonitis podrazumeva se zapaljenje peritoneuma izazvano dejstvom različitih noksi, a suštinu č...