Asian Journal of Case Reports in Surgery

Post Partum Necrotizing Fasciitis: A Cases Study

M. Benkhaldoun *

Plastic Surgery Department, National Burn Center, Morocco.

M. Habla

Plastic Surgery Department, National Burn Center, Morocco.

H. Benaguida

Maternity and Gyneco-Obstetrics Service, El Harrouchi Hospital, CHU Ibn Rochd, Casablanca Hassan II University, Morocco.

A. Elyoussfi

Plastic Surgery Department, National Burn Center, Morocco.

S. Karti

Plastic Surgery Department, National Burn Center, Morocco.

S. Sabur

Plastic Surgery Department, National Burn Center, Morocco.

A. El Harti

Plastic Surgery Department, National Burn Center, Morocco.

M. Diouri

Plastic Surgery Department, National Burn Center, Morocco.

*Author to whom correspondence should be addressed.

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Abstract

Necrotizing fasciitis is an uncommon and life-threatening soft tissue infection caused by pathogenic bacteria that spread rapidly along the fascia and produce enzymes and toxins that destroy soft tissues, the absence of pathognomonic symptoms makes its diagnosis difficult. Rapidly progressive, it is a life-threatening emergency with a fatal prognosis in 30% of cases. The treatment is mixed and combines aggressive surgical debridement with medical treatment based on antibiotics. This article covers three cases of women who developed necrotizing fasciitis of the abdominal wall, two following a cesarean section and one having a vaginal delivery with disjunction of the pubic symphysis. Surgical treatment took place before septic shock in all three patients; one death occurred in this case study.

Keywords: Septic shock, hypodermitis, necrotizing fasciitis, life-threatening

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