Necrotizing fasciitis caused by perforated appendicitis: a case report
Jie Hua1, Le Yao1, Zhi-Gang He1
1Department of General Surgery, Shanghai Tenth People's Hospital, Tongji University School of Medicine 301 Yanchang Middle Road, Shanghai 200072, China.
Summary
Necrotizing fasciitis is a rare complication of perforated appendicitis. This case highlights the potential for retroperitoneal abscesses to spread, leading to severe sepsis and death despite surgical intervention.
Area of Science:
- Gastroenterology
- Infectious Diseases
- Surgical Pathology
Background:
- Acute appendicitis is a common cause of abdominal pain, but atypical presentations can delay diagnosis.
- Perforation of the appendix increases morbidity and mortality, with necrotizing fasciitis being an exceptionally rare complication.
- Retroperitoneal inflammation and abscesses can potentially lead to necrotizing fasciitis via lumbar triangles.


