title: Clostridial Gas Gangrene of the Abdominal Wall After Laparoscopic Cholecystectomy: A Case Report and Review.
abstract: Clostridial gas gangrene is a rare, yet severe, complication after laparoscopic cholecystectomy. We present a case report of a 48-year-old man with obesity, coronary artery disease, and diabetes, who developed clostridial gas gangrene of the abdominal wall after an uncomplicated laparoscopic cholecystectomy. Although the diagnosis was missed initially, successful radical surgical debridement was performed and the patient survived. Pathogenesis, symptoms, prognostic factors, and the best treatment are discussed.
authors.affiliation: Department of Surgery, MC Slotervaart, Amsterdam, The Netherlands.
authors.forename: Annelieke M K
authors.initials: AM
authors.lastname: Harmsen
authors.forename: Erik
authors.initials: E
authors.lastname: van Tol
authors.forename: Georgios F
authors.initials: GF
authors.lastname: Giannakopoulos
authors.forename: L Maurits
authors.initials: LM
authors.lastname: de Brauw
mesh_terms: D034861:Abdominal Wall / Q000473:pathology* / Q000601:surgery; D017081:Cholecystectomy, Laparoscopic / Q000009:adverse effects*; D003016:Clostridium perfringens; D005738:Gas Gangrene / Q000209:etiology* / Q000473:pathology; D006801:Humans; D008297:Male; D008875:Middle Aged; D009336:Necrosis / Q000382:microbiology / Q000601:surgery; D012086:Reoperation; D013526:Surgical Mesh; D013530:Surgical Wound Infection / Q000209:etiology / Q000473:pathology