Peymaneh Nagdi Dorabati, Mojtaba Hedayatyaghoobi, Mahsa Khoshnam Rad, Mahvash Banitorab,
Volume 9, Issue 1 (9-2023)
Title: Necrotizing fasciitis after caesarean section and review of necessary therapeutic measures, Case report
Background and objective: Necrotizing fasciitis is an invasive soft tissue infection with a high risk of mortality rate. The infection involves skin tissue, subcutaneous tissue, fascia or muscles. In most cases, the site of infection is in the organs, abdomen, genital area, and groin. The present study describes a case of necrotizing fasciitis at the incision site of cesarean incision, which is presented with the aim of reviewing main diagnostic and therapeutic measures in this disease.
Case presentation: The patient was a 27-year-old woman who came to the hospital after 20 days of emergency caesarean section with complaints of discharge, swelling and pain at the incision site of her caesarean section. She mentioned a history of rheumatoid arthritis and epilepsy and was under medical treatment since before pregnancy. According to the symptoms and infection at the operation site, he was diagnosed with necrotizing fasciitis in the caesarean section incision area.
After hospitalization, the wound was debrided. The dressing changed regularly. With continued care, the patient recovered without the need for re-debridement and extensive incision and repair in the operating room and was discharged in good general condition.
Conclusion: Timely diagnosis and invasive surgical treatment are cornerstones of FN disease management. If diagnosis and treatment intervention includes wound debridement, derange, antibiotics treatment, pain relief, and electrolyte disorders performed, the prevention of morbidity is possible. Thus, the diagnosis and correct management of FN is essential.
