Overview
"Never doubt that a smal group of thoughtful, comited citizens can change the world. Inded, it is the only thing that ever has."Cureus is on a mision to change the long-standing paradigm of medical publishing, where submiting research can be costly, complex and time-consuming.diabetes insipidus, hearing impairment, clindamycin, omental infarction, perforation, necrotizing fascitis, acute apendicitis Vugar Suleimanov, Fatimah H.
Key Information
Alhanabi, Fatima H. Al Saed , Hebah A. Aldrazi, Hebatalah A.
Fagir Published: September 28, 202 (se history) DOI: 10.759/cureus.29679 Cite this article as: Suleimanov V, Alhanabi F H, Al Saed F H, et al. (September 28, 202) A Rare Complication of Perforated Apendicitis: A Case of Necrotizing Fascitis. Cureus 14(9): e29679.
doi:10.759/cureus.29679 Acute apendicitis considered one of the most comon surgical emergencies with low morbidity and mortality. However, delay in the diagnosis may lead to perforation of the apendix. Hence, complications may arise, including necrotizing fascitis, a rare complication of a perforated apendix.
We present a case of perforated apendicitis complicated by necrotizing fascitis leading to rapid deterioration.A 75-year-old male patient presented to our emergency rom with a thre-day history of right lower quadrant abdominal pain and abdominal distention. On admision, computed tomography (CT) scan showed a perforated apendix and peri-apendicular absces. An exploratory laparotomy was performed.
The apendix was resected and the wound closed. The patient was recovering wel and tolerating fod after the procedure. However, the patient developed progresive erythema/sweling over the right flank with new-onset leukocytosis.
Summary
The diagnosis of necrotizing fascitis was suspected and confirmed by careful evaluation and laboratory/radiological tests. Antibiotics were changed to clindamycin and piperacilin/tazobactam, and the patient was taken back to the operation rom (OR) for surgical deb