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Chirurgia 2005 October;18(5):339-44

Copyright © 2005 EDIZIONI MINERVA MEDICA

language: Italian

Necrotizing fasciitis of abdominal wall. A case report

Palmeri R., Lazzara S., Melita G., Currò G., Iapichino G., Cucinotta E., Melita P.


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The Authors report a case of abdominal wall necrotizing fasciitis in a 51-year-old woman. The patient presented with severe septic shock, pain and signs of inflammation in left quadrants. Objectively we observed the presence of local oedema with diffuse subcutaneous crackling. The patient underwent emergency operation with multiple incisions of the skin and subcutaneous tissue followed by debridement of fascia, excision of all necrotic tissue and daily applications of antiseptics. It has been also associated an antibiotics treatment and hyperbaric oxygen therapy which led to the solution of local and systemic symptoms.

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