1. Cecal perforation presenting as abdominal-wall necrotizing fasciitis.
- Author
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Sy ED, Liu CS, Huang SM, and Shan YS
- Subjects
- Abdominal Muscles pathology, Child, Preschool, Diagnosis, Differential, Fasciitis, Necrotizing pathology, Humans, Intestinal Diseases pathology, Male, Pneumoperitoneum pathology, Pneumoperitoneum surgery, Salmonella Infections pathology, Subcutaneous Emphysema pathology, Subcutaneous Emphysema surgery, Tomography, X-Ray Computed, Abdominal Muscles surgery, Fasciitis, Necrotizing surgery, Intestinal Diseases surgery, Salmonella Infections surgery, Salmonella enteritidis
- 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.
- Published
- 2001
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