[A necrotizing fasciitis of an abdominal wall after a cholecystectomy--a case report]

The authors present a case review of a patient with a life threatening infectious complication after a routine operation with an accent on urgent diagnosis and treatment. A sepsis with an extensive necrotizing anaerobic infection of the surgical wound with a destruction of abdominal wound developed in 48 hours after a cholecystectomia. The patient status required repeatedly an extensive necrectomy with a hospitalization on an intensive care unit with a necessity of an arteficial pulmonary ventilation and a circulation support. A resulting large defect of an abdominal wall was fully healed by using a vacuum sealing treatment and a dermoepidermal skin graft.