Acute appendicitis complicated by necrotizing fasciitis in a teenager

Necrotizing fasciitis is a rare complication of appendicitis in children and is associated with significant morbidity and mortality. We present the case of a 16-year-old male who presented with perforated appendicitis and subsequently developed necrotizing fasciitis of the abdominal wall and perineu...

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Main Authors: Jeremy D. Kauffman, Megan O'Brien, Christopher W. Snyder, S. Alex Rottgers, Drew A. Rideout, Nicole M. Chandler
Format: Article
Language:English
Published: Elsevier 2018-10-01
Series:Journal of Pediatric Surgery Case Reports
Online Access:http://www.sciencedirect.com/science/article/pii/S2213576618301799
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author Jeremy D. Kauffman
Megan O'Brien
Christopher W. Snyder
S. Alex Rottgers
Drew A. Rideout
Nicole M. Chandler
author_facet Jeremy D. Kauffman
Megan O'Brien
Christopher W. Snyder
S. Alex Rottgers
Drew A. Rideout
Nicole M. Chandler
author_sort Jeremy D. Kauffman
collection DOAJ
description Necrotizing fasciitis is a rare complication of appendicitis in children and is associated with significant morbidity and mortality. We present the case of a 16-year-old male who presented with perforated appendicitis and subsequently developed necrotizing fasciitis of the abdominal wall and perineum. His seven-week hospital course was notable for 16 trips to the operating room, which culminated in staged, complex abdominal wall repair. Ultimately he was discharged home in good condition. The case is remarkable for the extent of soft tissue damage and complexity of repair precipitated by an uncommon complication of a common pediatric disease. Keywords: Necrotizing fasciitis, Appendicitis, Pediatrics, Abdominal wall reconstruction, Synthetic marijuana
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spelling doaj.art-046f5afc7f764cc895eeba5f786286ab2022-12-22T01:48:34ZengElsevierJournal of Pediatric Surgery Case Reports2213-57662018-10-01377782Acute appendicitis complicated by necrotizing fasciitis in a teenagerJeremy D. Kauffman0Megan O'Brien1Christopher W. Snyder2S. Alex Rottgers3Drew A. Rideout4Nicole M. Chandler5Division of Pediatric Surgery, Johns Hopkins All Children's Hospital, 601 5th Street South, Suite 306, St. Petersburg, Florida 33701, USADivision of Pediatric Surgery, Johns Hopkins All Children's Hospital, 601 5th Street South, Suite 306, St. Petersburg, Florida 33701, USADivision of Pediatric Surgery, Johns Hopkins All Children's Hospital, 601 5th Street South, Suite 306, St. Petersburg, Florida 33701, USADivision of Plastic and Reconstructive Surgery, Johns Hopkins All Children's Hospital, 601 5th Street South, Suite 306, St. Petersburg, Florida 33701, USADivision of Pediatric Surgery, Johns Hopkins All Children's Hospital, 601 5th Street South, Suite 306, St. Petersburg, Florida 33701, USADivision of Pediatric Surgery, Johns Hopkins All Children's Hospital, 601 5th Street South, Suite 306, St. Petersburg, Florida 33701, USA; Corresponding author. 601 5th St. South, Dept 70-6600, 3rd Floor, St. Petersburg, Florida, 33701 USA.Necrotizing fasciitis is a rare complication of appendicitis in children and is associated with significant morbidity and mortality. We present the case of a 16-year-old male who presented with perforated appendicitis and subsequently developed necrotizing fasciitis of the abdominal wall and perineum. His seven-week hospital course was notable for 16 trips to the operating room, which culminated in staged, complex abdominal wall repair. Ultimately he was discharged home in good condition. The case is remarkable for the extent of soft tissue damage and complexity of repair precipitated by an uncommon complication of a common pediatric disease. Keywords: Necrotizing fasciitis, Appendicitis, Pediatrics, Abdominal wall reconstruction, Synthetic marijuanahttp://www.sciencedirect.com/science/article/pii/S2213576618301799
spellingShingle Jeremy D. Kauffman
Megan O'Brien
Christopher W. Snyder
S. Alex Rottgers
Drew A. Rideout
Nicole M. Chandler
Acute appendicitis complicated by necrotizing fasciitis in a teenager
Journal of Pediatric Surgery Case Reports
title Acute appendicitis complicated by necrotizing fasciitis in a teenager
title_full Acute appendicitis complicated by necrotizing fasciitis in a teenager
title_fullStr Acute appendicitis complicated by necrotizing fasciitis in a teenager
title_full_unstemmed Acute appendicitis complicated by necrotizing fasciitis in a teenager
title_short Acute appendicitis complicated by necrotizing fasciitis in a teenager
title_sort acute appendicitis complicated by necrotizing fasciitis in a teenager
url http://www.sciencedirect.com/science/article/pii/S2213576618301799
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