Cecal perforation presenting as abdominal-wall necrotizing fasciitis.
The preoperative diagnosis of a cecal perforation associated with Salmonella infection as a cause of abdominal-wall necrotizing fasciitis (AWNF) is clinically difficult. Computed tomography of the abdomen is helpful, and can detect the combined presence of a pneumoscrotum and pneumoperitoneum. Its presence indicates a patent processus vaginalis, which acts as the primary route for the spread of the intra-abdominal infectious process into the abdominal wall. An exploratory laparotomy should be done to confirm the presence of intra-abdominal pathology in order to avoid delayed treatment.
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Section of Pediatric Surgery, Department of Surgery, National Cheng Kung University Hospital, 138 Sheng-Li Road, Tainan, Taiwan, Republic of China 70428.
Liu
C S
CS
Huang
S M
SM
Shan
Y S
YS
D000009:Abdominal Muscles / Q000473:pathology / Q000601:surgery*; D002675:Child, Preschool; D003937:Diagnosis, Differential; D019115:Fasciitis, Necrotizing / Q000473:pathology / Q000601:surgery*; D006801:Humans; D007410:Intestinal Diseases / Q000473:pathology / Q000601:surgery*; D008297:Male; D011027:Pneumoperitoneum / Q000473:pathology / Q000601:surgery; D012480:Salmonella Infections / Q000473:pathology / Q000601:surgery*; D012477:Salmonella enteritidis; D013352:Subcutaneous Emphysema / Q000473:pathology / Q000601:surgery; D014057:Tomography, X-Ray Computed