Perforated Gastric Ulcer Masquerading as Anterior Abdominal Wall Necrotizing Fasciitis

Firdaus Hayati, and Nornazirah Azizan, and Nik Amin Sahid, and Hilal Zahabi Abdul Fattah, and Rohamini Sibin, and Andee Dzulkarnaen Zakaria, (2020) Perforated Gastric Ulcer Masquerading as Anterior Abdominal Wall Necrotizing Fasciitis. Malaysian Journal of Medicine and Health Sciences, 16 (1). pp. 354-356. ISSN 2636-9346

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Abstract

Necrotizing fasciitis (NF) is a deadly soft tissue infection causing a significant morbidity and mortality. Abdominal and chest wall NF are unusual. We describe a 49-year-old male with anterior abdominal wall NF secondary to perforated gastric ulcer (PGU). He was admitted in septic shock presenting an abdominal wall NF with severe metabolic acidosis requiring dialysis and admission to the intensive care unit. There was a patch of gangrene with surrounding skin discoloration at lower quadrant of the abdominal wall. Local debridement was done without a preoperative computed tomography that was performed after surgery. Adequate source control was not achieved after the second surgery and the patient had worsened resulting to death. We describe this rare presentation of NF and discuss the issues learnt from this unfortunate event.

Item Type: Article
Uncontrolled Keywords: Necrotizing fasciitis, Peptic ulcer perforation, Diagnostic imaging, Abdominal wall
Subjects: R Medicine > R Medicine (General)
R Medicine > RC Internal medicine
Divisions: FACULTY > Faculty of Medicine and Health Sciences
Depositing User: MDM SITI AZIZAH IDRIS
Date Deposited: 10 Mar 2020 01:43
Last Modified: 17 Apr 2020 14:38
URI: http://eprints.ums.edu.my/id/eprint/25090

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