Yıl 2018, Cilt 4, Sayı 4, Sayfalar 429 - 431 2018-10-04

Complicated acute appendicitis presenting as a necrotizing fasciitis of the abdominal wall: a case report

Betül Tiryaki Baştuğ [1] , Berkay Subaşı [2] , Emre Emekli [3] , Kübra Parpucu [4] , Mahmut Kebapçı [5]

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Acute appendicitis is one of the most common surgical diseases, but necrotizing fasciitis of the abdominal wall because of perforation is extremely rare. A 50-year-old male presented to the emergency department with severe right-sided abdominal pain for a week. He was hypothermic, hypotensive, and tachycardic. His abdomen was distended, with a large, tender, erythematous region over the right abdominal wall. Laboratory evaluation revealed leukocytosis, acute kidney injury. Computed tomography revealed large collections of fluid and gas in the right abdominal wall as well as inflammation surrounding the right colon. The patient was resuscitated with intra-venous fluid, started on broad-spectrum antibiotics, and emergently brought to the operating room. The patient underwent an exploratory laparotomy, and was found to have appendicitis, which perforated into his abdominal wall resulting in a necrotizing soft tissue infection. It is important to recognize this complication early and proceed immediately to the operating room.

Perforated appendicitis, abdominal wall abscess, necrotizing fasciitis
  • [1] Giuliano A, Lewis F Jr, Hadley K, Blaisdell FW. Bacteriology of necrotizing fasciitis. Am J Surg 1977;134:52-7.
  • [2] Elliott DC, Kufera JA, Myers RA. Necrotizing soft tissue infections. Risk factors for mortality and strategies for management. Ann Surg 1996;224:672-83.
  • [3] Chen CW, Hsiao CW, Wu CC, Jao SW, Lee TY, Kang JC. Necrotizing fasciitis due to acute perforated appendicitis: case report. J Emerg Med 2010;39:178-80.
  • [4] Ishigami K, Khanna G, Samuel I, Dahmoush L, Sato Y. Gas-forming abdominal wall abscess: unusual manifestation of perforated retroperitoneal appendicitis extending through the superior lumbar triangle. Emerg Radiol 2004;10:207-9.
  • [5] Hua J, Yao L, He Z-G, Xu B, Song Z-S. Necrotizing fasciitis caused by perforated appendicitis: a case report. Int J Clin Exp Pathol 2015;8:3334-8.
  • [6] Gujral S, Hughes JM, Wiberg A. Necrotizing fasciitis. Eplasty 2014;14:ic15.
  • [7] McHenry CR, Piotrowski JJ, Petrinic D, Malangoni MA. Determinants of mortality for necrotizing soft-tissue infections. Ann Surg 1995;221:558-65.
  • [8] Wong CH, Khin LW, Heng KS, Tan KC, Low CO. The LRINEC (Laboratory Risk Indicator for Necrotizing Fasciitis) score: a tool for distinguishing necrotizing fasciitis from other soft tissue infections. Crit Care Med 2004;32:1535-41.
  • [9] Schmid MR, Kossmann T, Duewell S. Differentiation of necrotizing fasciitis and cellulitis using MR imaging. AJR Am J Roentgenol 1998;170:615-20.
Birincil Dil en
Konular Sağlık Bilimleri ve Hizmetleri
Dergi Bölümü Case Report
Yazarlar

Yazar: Betül Tiryaki Baştuğ
Kurum: Department of Radiology, Osmangazi University School of Medicine, Eskisehir
Ülke: Turkey


Yazar: Berkay Subaşı
Kurum: Department of Radiology, Osmangazi University School of Medicine, Eskisehir
Ülke: Turkey


Yazar: Emre Emekli
Kurum: Department of Radiology, Osmangazi University School of Medicine, Eskisehir
Ülke: Turkey


Yazar: Kübra Parpucu
Kurum: Department of Emergency Medicine , Osmangazi University School of Medicine, Eskişehir
Ülke: Turkey


Yazar: Mahmut Kebapçı
Kurum: Department of Radiology, Osmangazi University School of Medicine, Eskisehir
Ülke: Turkey


Bibtex @olgu sunumu { eurj346464, journal = {The European Research Journal}, issn = {}, eissn = {2149-3189}, address = {Sağlık Araştırmaları ve Stratejileri Derneği}, year = {2018}, volume = {4}, pages = {429 - 431}, doi = {10.18621/eurj.346464}, title = {Complicated acute appendicitis presenting as a necrotizing fasciitis of the abdominal wall: a case report}, key = {cite}, author = {Kebapçı, Mahmut and Parpucu, Kübra and Emekli, Emre and Tiryaki Baştuğ, Betül and Subaşı, Berkay} }
APA Tiryaki Baştuğ, B , Subaşı, B , Emekli, E , Parpucu, K , Kebapçı, M . (2018). Complicated acute appendicitis presenting as a necrotizing fasciitis of the abdominal wall: a case report. The European Research Journal, 4 (4), 429-431. DOI: 10.18621/eurj.346464
MLA Tiryaki Baştuğ, B , Subaşı, B , Emekli, E , Parpucu, K , Kebapçı, M . "Complicated acute appendicitis presenting as a necrotizing fasciitis of the abdominal wall: a case report". The European Research Journal 4 (2018): 429-431 <http://dergipark.gov.tr/eurj/issue/32988/346464>
Chicago Tiryaki Baştuğ, B , Subaşı, B , Emekli, E , Parpucu, K , Kebapçı, M . "Complicated acute appendicitis presenting as a necrotizing fasciitis of the abdominal wall: a case report". The European Research Journal 4 (2018): 429-431
RIS TY - JOUR T1 - Complicated acute appendicitis presenting as a necrotizing fasciitis of the abdominal wall: a case report AU - Betül Tiryaki Baştuğ , Berkay Subaşı , Emre Emekli , Kübra Parpucu , Mahmut Kebapçı Y1 - 2018 PY - 2018 N1 - doi: 10.18621/eurj.346464 DO - 10.18621/eurj.346464 T2 - The European Research Journal JF - Journal JO - JOR SP - 429 EP - 431 VL - 4 IS - 4 SN - -2149-3189 M3 - doi: 10.18621/eurj.346464 UR - http://dx.doi.org/10.18621/eurj.346464 Y2 - 2017 ER -
EndNote %0 The European Research Journal Complicated acute appendicitis presenting as a necrotizing fasciitis of the abdominal wall: a case report %A Betül Tiryaki Baştuğ , Berkay Subaşı , Emre Emekli , Kübra Parpucu , Mahmut Kebapçı %T Complicated acute appendicitis presenting as a necrotizing fasciitis of the abdominal wall: a case report %D 2018 %J The European Research Journal %P -2149-3189 %V 4 %N 4 %R doi: 10.18621/eurj.346464 %U 10.18621/eurj.346464
ISNAD Tiryaki Baştuğ, Betül , Subaşı, Berkay , Emekli, Emre , Parpucu, Kübra , Kebapçı, Mahmut . "Complicated acute appendicitis presenting as a necrotizing fasciitis of the abdominal wall: a case report". The European Research Journal 4 / 4 (Ekim 2018): 429-431. http://dx.doi.org/10.18621/eurj.346464