Case Report

A Case of Postsurgical Necrotizing Fasciitis Invading the Rectus Abdominis Muscle and Review of the Literature

Figure 1

78-year-old male with diagnosis of postsurgical necrotizing fasciitis. CT scans axial ((a), (b), (c), (d)) show the presence, close to the right drainage pipe, of huge air-densities collections and edema extending along the soft tissues as right subcutaneous fat tissue, parietal abdominal muscles, and subcutaneous fascia was also involved. (a) Axial precontrast CT shows the presence of edema of the soft tissue and of the muscles which appear swollen. (b) Axial precontrast CT shows the presence of multiple huge air-densities collections among the swollen muscles. (c) CT axial precontrast. The image shows the involvement of the deep muscular fascia and the presence of air collections within it. (d) Axial precontrast CT, zoomed detail, shows the involvement of the deep muscular fascia.
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(a)
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(b)
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(c)
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(d)