Case Report

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

Figure 2

78-year-old male with diagnosis of postsurgical necrotizing fasciitis. CT axial ((b), (d)) precontrast and Sagittal Multiplanar Reconstruction ((a), (c)) show the presence of scout of subcutaneous gas, at different level, with a wide extension up to the clavicular region. (a) Precontrast Sagittal Multiplanar Reconstruction with lung window shows the presence of subcutaneous gas among the soft tissue structures and muscles. (b) Precontrast axial CT scan with lung window shows the presence of subcutaneous gas. (c) Precontrast Sagittal Multiplanar Reconstruction shows the presence of subcutaneous gas in the deeper structures of the abdominal wall and among the fat soft tissue. (d) Precontrast axial CT scan shows the extension of the subcutaneous emphysema up to the clavicular region.
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(a)
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(b)
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(c)
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(d)