Fatal Necrotizing Fasciitis Following Uncomplicated Colonoscopic Polypectomy: A Case Report
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Necrotizing fasciitis (NF) is a life-threatening infection that can be caused by various procedures or surgery and may developin healthy elderly patients. Here, we report a case of a 66-year-old man with diabetes mellitus who underwent colonoscopicpolypectomy, without complications. However, he visited the emergency department 24 hours after the procedure complaining ofabdominal pain. Abdominopelvic computed tomography revealed multiple air bubbles in the right lateral abdominal muscles. Aftera diagnosis of NF was made, immediate surgical debridement was performed. However, despite three sessions of extensive surgicaldebridement and best supportive care at the intensive care unit, the patient died because of sepsis and NF-associated multiple-organfailure. In conclusion, physicians should pay special attention to the possibility of NF if a patient with risk factors for NF developssepsis after colonoscopic polypectomy.
Abstract
Necrotizing fasciitis (NF) is a life-threatening infection that can be caused by various procedures or surgery and may developin healthy elderly patients. Here, we report a case of a 66-year-old man with diabetes mellitus who underwent colonoscopicpolypectomy, without complications. However, he visited the emergency department 24 hours after the procedure complaining ofabdominal pain. Abdominopelvic computed tomography revealed multiple air bubbles in the right lateral abdominal muscles. Aftera diagnosis of NF was made, immediate surgical debridement was performed. However, despite three sessions of extensive surgicaldebridement and best supportive care at the intensive care unit, the patient died because of sepsis and NF-associated multiple-organfailure. In conclusion, physicians should pay special attention to the possibility of NF if a patient with risk factors for NF developssepsis after colonoscopic polypectomy.
참고문헌 (20)
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