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Rare Complication of Stomas: Peristomal Necrotizing Fasciitis

Kivanc Derya Peker1, Burak M Ilhan2

  • 1Department of General Surgery, Istanbul Bakirkoy Dr. Sadi Konuk Training and Research Hospital, Istanbul, Turkey.

Wounds : a Compendium of Clinical Research and Practice
|January 6, 2017
PubMed
Abstract

Insights

Peristomal necrotizing fasciitis is a rare but dangerous complication following stoma surgery. Early identification of risk factors and prompt medical and surgical treatment are crucial for patient survival.

Area of Science:

  • Colorectal Surgery
  • Surgical Complications
  • Infectious Diseases

Background:

  • Stoma formation is common in colorectal surgery but can lead to rare complications.
  • Peristomal necrotizing fasciitis is a serious, potentially fatal condition.
  • Physicians need awareness of this rare disease and its management.

Purpose of the Study:

  • To highlight peristomal necrotizing fasciitis as a rare complication.
  • To identify surgical and medical treatment options.
  • To raise physician awareness of this condition.

Main Methods:

  • Retrospective evaluation of 14 patients diagnosed with peristomal necrotizing fasciitis between 2005 and 2015.
  • Analysis of risk factors including age, sex, comorbidities, and infection sources.
  • Review of treatment modalities employed.

Main Results:

  • The study included 14 patients (9 male, 5 female) with an average age of 63.28 years.
  • Identified risk factors included malignancy (71.42%), diabetes mellitus (28.57%), and obesity (21.42%).
  • All patients received prophylactic antibiotics and underwent debridement and stoma revision.

Conclusions:

  • Peristomal necrotizing fasciitis is an urgent and life-threatening condition.
  • Prompt identification of risk factors and immediate application of treatment are essential.
  • Integrated medical, surgical, and vacuum-assisted closure therapies are recommended.

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