Abstract
Necrotizing fasciitis is a serious and often fatal necrotizing soft tissue infection. It is important to make the correct diagnosis and rapidly debride the affected area. We recently treated a 79 year-old woman with necrotizing fasciitis associated with an incarcerated groin hernia, who presented with appetite loss. Physical examination showed a soft tissue bulge with skin necrosis in the right inguinal area. A computed tomography (CT) scan showed gas at the level of the fascia and prolapse of the small intestine. She was diagnosed with necrotizing fasciitis associated with an incarcerated inguinal hernia. Debridement, hernia repair, and resection of the small intestine were performed. Debridement was performed twice more after the first operation. Despite this aggressive surgical management, the patient died on the sixth day after the operation (POD6). Early debridement and multimodal therapy are important for treatment of patients with necrotizing fasciitis.
