Necrotizing Fasciitis: A Complication of Percutaneous Coronary Revascularization

Calderon, Eduardo; Carter, Eliott; Ramsey, Keith M.; Waa, John A. Vande; Green, William K.; Alpert, Martin A.

doi:10.1177/0003319707301752

Cited by 1 publication

(1 citation statement)

References 38 publications

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“…[5][6][7] Early diagnosis and surgical intervention are essential to reduce the mortality rate of this fatal complication. NF may be caused by various procedures such as intramuscular injection of nonsteroidal anti-inflammatory drugs, 8,9 percutaneous endoscopic gas-trostomy, 10 percutaneous coronary revascularization, 11 and transthoracic biopsy. 12 In addition, retroperitoneal NF has been reported after surgeries such as hemorrhoidectomy 13 and appendectomy.…”

Section: Introductionmentioning

confidence: 99%

Fatal Necrotizing Fasciitis Following Uncomplicated Colonoscopic Polypectomy: A Case Report

et al. 2021

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Necrotizing fasciitis (NF) is a life-threatening infection that can be caused by various procedures or surgery and may develop in healthy elderly patients. Here, we report a case of a 66-year-old man with diabetes mellitus who underwent colonoscopic polypectomy, without complications. However, he visited the emergency department 24 hours after the procedure complaining of abdominal pain. Abdominopelvic computed tomography revealed multiple air bubbles in the right lateral abdominal muscles. After a diagnosis of NF was made, immediate surgical debridement was performed. However, despite three sessions of extensive surgical debridement and best supportive care at the intensive care unit, the patient died because of sepsis and NF-associated multiple-organ failure. In conclusion, physicians should pay special attention to the possibility of NF if a patient with risk factors for NF develops sepsis after colonoscopic polypectomy.

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