POSTOPERATIVE NECROTIZING FASCIITIS

  • Emilė Stoukutė LSMU MA Medicinos fakultetas
  • Rita Gudaitytė LSMU MA Chirurgijos klinika
  • Joana Celiešiūtė LSMU MA Akušerijos ir ginekologijos klinika
  • Artūras Sukovas LSMU MA Akušerijos ir ginekologijos klinika
Keywords: Necrotizing fasciitis, soft tissue necrosis, postoperative infection, laparotomic hysterectomy, LRINEC score

Abstract

Necrotizing fasciitis is a rare, rapidly progressing, and life-threatening soft tissue infection that often leads to septic complications. The prevalence of this condition ranges from 1 to 4 cases per 100,000 people worldwide, with a mortality rate that can vary between 12.1% and 76%. Diagnosing this condition is challenging due to its nonspecific symptoms, making early surgical intervention, broad-spectrum antibiotic therapy, and intensive care critical for successful treatment. This article describes a rare case of postoperative necrotizing fasciitis that developed following a laparotomic hysterectomy. The clinical case highlights the complexity of the infection and the necessity for timely diagnosis and aggressive treatment to prevent severe complications and mortality. The patient’s condition was successfully stabilized using a multidisciplinary treatment approach, and her long-term health status demonstrates the effectiveness of the applied measures. This case underscores the importance of early diagnosis, appropriate treatment, and multidisciplinary care in managing the risks associated with necrotizing fasciitis.

Published
2025-04-10