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Fatal Necrotizing Fasciitis Following Uncomplicated Colonoscopic Polypectomy: A Case Report
Clinical Endoscopy ; : 280-284, 2021.
Article in English | WPRIM | ID: wpr-890053
ABSTRACT
Necrotizing fasciitis (NF) is a life-threatening infection that can be caused by various procedures or surgery and may develop in healthy elderly patients. Here, we report a case of a 66-year-old man with diabetes mellitus who underwent colonoscopic polypectomy, without complications. However, he visited the emergency department 24 hours after the procedure complaining of abdominal pain. Abdominopelvic computed tomography revealed multiple air bubbles in the right lateral abdominal muscles. After a diagnosis of NF was made, immediate surgical debridement was performed. However, despite three sessions of extensive surgical debridement and best supportive care at the intensive care unit, the patient died because of sepsis and NF-associated multiple-organ failure. In conclusion, physicians should pay special attention to the possibility of NF if a patient with risk factors for NF develops sepsis after colonoscopic polypectomy.
Full text: Available Index: WPRIM (Western Pacific) Type of study: Risk factors Language: English Journal: Clinical Endoscopy Year: 2021 Type: Article

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Full text: Available Index: WPRIM (Western Pacific) Type of study: Risk factors Language: English Journal: Clinical Endoscopy Year: 2021 Type: Article