Necrotizing fasciitis of the lower extremity caused by perforated sigmoid diverticulitis—a case report. Issue 8 (6th August 2018)

• Record Type: Journal Article
• Authors: Kröpfl, Veronika; Treml, Benedikt; Scheidl, Stefan; Lanthaler, Monika; Nogler, Michael; Lorenz, Ingo; Friesenecker, Barbara; Fries, Dietmar; Pierer, Gerhard; Öfner-Velano, Dietmar
• Is Part Of: Journal of surgical case reports. Issue 8(2018)
• Publication Date: 2018-08-06
• Subjects: Surgery -- Periodicals; Surgery -- Case studies -- Periodicals; 617.005
• DOI: 10.1093/jscr/rjy198
• Languages: English
• ISSNs: 2042-8812

Abstract

Abstract: Diverticulosis of the sigmoid colon is a common condition and occurs more often in elderly patients. A well-known complication is infection or even perforation which often requires surgery. Necrotizing fasciitis as a complication of perforated diverticulitis is very rare. Here, we present a case of a covered perforated diverticulitis in an immunosuppressed patient leading to life-threatening necrotizing fasciitis requiring extracorporeal membrane oxygenation. Either hematogenous or local dissemination via the inguinal canal seemed the most probable mechanism of leg infection leading to hip articulation.