Related Experiment Video

Updated: May 20, 2026

Retroperitoneal Laparoscopic Debridement and Drainage for Pancreatic Abscess
03:42

Retroperitoneal Laparoscopic Debridement and Drainage for Pancreatic Abscess

Published on: March 15, 2024

Port site necrotising fasciitis following laparoscopic appendicectomy

Gargeshwari K G Raghavendra1, Sarah Mills, Michael Carr

  • 1Department of General Surgery, Wansbeck General Hospital, Ashington, UK. drgkgururao@yahoo.com

BMJ Case Reports
|July 11, 2012
PubMed

Insights

Necrotising fasciitis is a severe infection that can develop after laparoscopic appendicectomy. This case highlights a successful management strategy for this rare but serious complication, contrasting with a previously reported fatal outcome.

Area of Science:

  • Infectious Diseases
  • Surgical Complications
  • Dermatology

Background:

  • Necrotising fasciitis is a rapidly progressing soft tissue infection.
  • It can lead to extensive tissue necrosis and systemic toxicity.
  • Laparoscopic appendicectomy is a common surgical procedure.

Observation:

  • A patient developed necrotising fasciitis post-laparoscopic appendicectomy.
  • This complication, though rare, has been previously associated with a fatal outcome.
  • The current case presented a similar clinical scenario.

Findings:

  • The patient with necrotising fasciitis following laparoscopic appendicectomy was successfully managed.
  • Early recognition and aggressive surgical debridement combined with antibiotics were crucial.
  • Literature review identified limited cases, emphasizing the rarity and severity.

Implications:

  • Successful management of necrotising fasciitis post-laparoscopic appendicectomy is possible.
  • Highlights the importance of vigilance for rare complications after common procedures.
  • Informs surgical practice regarding prompt diagnosis and treatment of necrotising fasciitis.

Related Concept Videos

Appendicitis01:19

Appendicitis

Appendicitis is an acute inflammatory condition of the vermiform appendix, most commonly caused by obstruction of its lumen. The appendix is a narrow, blind-ended pouch that extends from the cecum, making it particularly prone to obstruction. Causes include fecaliths, lymphoid hyperplasia (often after viral infections), parasites, tumors, or foreign bodies. This obstruction initiates a cascade of pathological changes.Luminal Obstruction and Early InflammationAfter obstruction, normal mucosal...
Appendicitis-II: Diagnostic Studies and Management01:29

Appendicitis-II: Diagnostic Studies and Management

Diagnosing and managing appendicitis requires a structured and comprehensive approach that spans from initial assessment to postoperative care. Here is an overview of the process:
Diagnosing Appendicitis
It requires a multifaceted approach, starting with a detailed physical examination to pinpoint the location and nature of the pain and identify any associated symptoms. Laboratory tests play a crucial role. A complete Blood Count (CBC) typically reveals leukocytosis (an increased number of...
Appendicitis-I: Introduction01:22

Appendicitis-I: Introduction

The appendix, a small, narrow, blind tube extending from the inferior part of the cecum, is widely regarded as a vestigial organ, having lost much of its original function through evolution. Despite its diminished role, the appendix can become inflamed, a condition known as appendicitis.
Etiology: Appendicitis can arise from various causes, primarily rooted in the obstruction of the appendix lumen. Factors contributing to this obstruction include fecal accumulation, lymphoid hyperplasia and, in...
Endoscopic Procedures IV: Sigmoidoscopy and Laproscopy01:26

Endoscopic Procedures IV: Sigmoidoscopy and Laproscopy

Sigmoidoscopy and laparoscopy are distinct medical procedures that enable physicians to internally inspect different parts of the GI tract. Although they serve different purposes, each is essential for diagnosing and, in some cases, treating various medical conditions.
Sigmoidoscopy
Sigmoidoscopy is a diagnostic procedure that uses a flexible sigmoidoscope equipped with a light source and camera to examine the rectum and sigmoid colon. The procedure involves inserting the tube through the anus...