Objective: To report a rare presentation of necrotizing fasciitis (NF) in the breast and its management. Clinical Presentation and Intervention: A 61-year-old non-diabetic lady presented with a painful swollen right breast and yellowish discharge associated with fever for the last few days. Based on clinical examination and haematological parameters, a provisional diagnosis of breast abscess was made that later proved to be a case of NF. She was managed conservatively with repeated debridement followed by split-skin grafting with preservation of the breast. Conclusion: This case showed that NF of the breast can present as a simple breast abscess which was managed conservatively.

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A 32-year-old woman presented to the hospital complaining about having colicky abdominal pain for the last 2 weeks. The pain was usually generalized but sometimes radiated to the right iliac fossa. The pain got worse with meals and was associated with nausea but no vomiting. In the last 2 days, the pain was associated with loose stools, but there was no mucus or blood. She had no comorbidities, such as diabetes mellitus or hypertension, and no previous admission to the hospital. She is married and has 4 children; her last child was born 40 days prior to her presentation to the hospital. On examination, her vital signs were normal (temperature, 37.1°C; pulse, 86 beats/min; and blood pressure, 121/86 mm Hg). Her abdomen was soft and lax. There was mild tenderness in the right iliac fossa, but no lump or lumps were felt. Bowel sounds were not exaggerated. Her white blood cell count was 8500/μL (to convert to ×10 9 per liter, multiply by 0.001), her hemoglobin level was 1.3 g/dL (to convert to grams per liter, multiply by 10.0), and her platelet count was 361 × 10 3 /μL (to convert to ×10 9 per liter, multiply by 1.0). The results of renal and liver function tests were normal. Abdominal ultrasonography revealed a 4.2 × 4.2-cm mass in the midabdominal region lateral to the gall bladder fossa. The mass has the "donut sign" with central echogenicity ( Figure 1A). An abdominal computed tomographic scan ( Figure 1B) showed a 8.2 × 4 × 2.6-cm tubular thin-walled filling defect in the cecum and lower part of ascending colon. The oral contrast agent can be seen around, proximal, and distal to the defect, with no obstruction noted.