title: Abdominal wall necrotising fasciitis: A rare but devastating complication of the percutaneous endoscopic gastrostomy procedure.
abstract: Percutaneous Endoscopic Gastrostomy (PEG) tubes were often offered to patients requiring long term enteral feeding. Even though the procedure is relatively safe, it is associated with various complications such as peritonitis or even death.1 We presented a case of a 54-year-old gentleman with underlying ischemic stroke and pus discharges from a recently inserted PEG tube. Computed Topography (CT) scan confirmed abdominal wall necrotising fasciitis complicated with hyperosmolar hyperglycaemia state (HHS) and later succumbed after 48 hours of admission. Our case illustrated the rare complication related to the insertion of PEG tube; abdominal wall necrotising fasciitis that was associated with mortality.
authors.affiliation: UKM Medical Centre, Department of Medicine, Gastroenterology Unit, Jalan Yaacob Latiff, 56000 Cheras, Kuala Lumpur, Malaysia. csngiu@ppukm.ukm.edu.my.
authors.forename: M R
authors.initials: MR
authors.lastname: Mohd Said
authors.affiliation: Universiti Teknologi MARA (UiTM), Department of Medicine, Gastroenterology Unit, Malaysia.
authors.forename: R
authors.initials: R
authors.lastname: Abdul Rani
authors.affiliation: UKM Medical Centre, Department of Medicine, Gastroenterology Unit, Jalan Yaacob Latiff, 56000 Cheras, Kuala Lumpur, Malaysia.
authors.forename: R A
authors.initials: RA
authors.lastname: Raja Ali
authors.affiliation: UKM Medical Centre, Department of Medicine, Gastroenterology Unit, Jalan Yaacob Latiff, 56000 Cheras, Kuala Lumpur, Malaysia.
authors.forename: C S
authors.initials: CS
authors.lastname: Ngiu
mesh_terms: D034861:Abdominal Wall / Q000382:microbiology / Q000473:pathology / Q000601:surgery; D019115:Fasciitis, Necrotizing / Q000000981:diagnostic imaging / Q000209:etiology* / Q000473:pathology; D017809:Fatal Outcome; D005773:Gastroscopy / Q000009:adverse effects* / Q000379:methods; D005774:Gastrostomy / Q000009:adverse effects* / Q000379:methods; D006801:Humans; D008297:Male; D008875:Middle Aged; D014057:Tomography, X-Ray Computed