1. Cecal perforation presenting as abdominal-wall necrotizing fasciitis.
- Author
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Sy, E. D., Liu, C. S., Huang, S. M., and Shan, Y. S.
- Subjects
ABDOMINAL wall ,ABDOMINAL muscles ,NECROTIZING fasciitis ,FASCIAE infections ,TOMOGRAPHY ,STREPTOCOCCAL diseases - Abstract
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. [ABSTRACT FROM AUTHOR]
- Published
- 2001
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