Severe late complication of appendicitis. Case report.
BACKGROUND
Diffuse necrotizing soft-tissue infections are severe due to their rapid progression; there is a vital need for settling proper early diagnosis. The task of the clinician is mainly in distinguishing localized infection from the diffuse process.


METHODS
In our case report we demonstrate a 32 yr old man with a curious development of severe necrotizing infection of submucosis with gas production as a conclusion of perforation of Schloffer's tumour, which developed after appendectomy carried 20 years ago.


CONCLUSIONS
In case of diffuse necrotizing soft-tissue infections only immediate surgical revision can confirm initial stages of severe forms of infection.
First Surgical Clinic, First Medical Faculty, Charles University, Prague 2, Czech Republic. robert.gurlich@lf1.cuni.cz
R
R
Gürlich
P
P
Maruna
M
M
Pesková
V
V
Dorazilová
J
J
Horejs
D018784:Abdominal Abscess / Q000209:etiology; D000328:Adult; D001062:Appendectomy / Q000009:adverse effects*; D001064:Appendicitis / Q000601:surgery*; D019115:Fasciitis, Necrotizing / Q000175:diagnosis / Q000209:etiology*; D006801:Humans; D008297:Male; D012422:Rupture, Spontaneous