[Postpartum vulvar necrotizing fasciitis]

To report the case of postpartum vulvar necrotizing fasciitis diagnosis and management.

A 16 year old woman with a history of vaginal delivery with episiotomy uncomplicated puerperium who presents in vulvar necrotizing fasciitis rapid progression to septic shock with spread to pelvis and abdomen.

A CT scan at the level reported amount of gas vaginal labia.

An early diagnosis, multidisciplinary treatment including extensive surgical management, appropriate antibiotic coverage and intensive care unit, are factors that improve the prognosis and reduce mortality.