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Severe late complication of appendicitis. Case report
R Gürlich1, P Maruna, M Pesková
1First Surgical Clinic, First Medical Faculty, Charles University, Prague 2, Czech Republic. robert.gurlich@lf1.cuni.cz
Background:
Diffuse necrotizing soft-tissue infections are severe due to their rapid progression; there is a vital need for settling proper early diagnosis. The task of the clinician is mainly in distinguishing localized infection from the diffuse process.
Case Presentation:
In our case report we demonstrate a 32 yr old man with a curious development of severe necrotizing infection of submucosis with gas production as a conclusion of perforation of Schloffer's tumour, which developed after appendectomy carried 20 years ago.
Conclusions:
In case of diffuse necrotizing soft-tissue infections only immediate surgical revision can confirm initial stages of severe forms of infection.