Title:A Case Report of Necrotizing Fasciitis after Cesarean Delivery
VOLUME: 11 ISSUE: 2
Author(s):Sara Mirzaeian, Sedigheh Ayati*, Maryam Karjalian, Samira Sajedi, Reza Jafarzadeh Esfehani and Elnaz Ayati
Affiliation:Department of Obstetrics and Gynecology, School of Medicine, Mashhad University of Medical Sciences, Mashhad
Keywords:Cesarean delivery, necrotizing fasciitis, percutaneous tracheostomy.
Abstract:Background: Postpartum morbidities such as infection, hemorrhage and thromboemboli are
more common in cesarean than vaginal delivery. Necrotizing fasciitis is a rare and fetal infection of
skin and soft tissues which involve cesarean incision, episiotomy site and prineal lacerations. The aim of this report is to
introduce a case of necrotizing fasciitis after cesarean delivery.
Case: We report a case of necrotizing fasciitis after urgent cesarean delivery in a 21 years old woman with gestational
diabetes. The patient survived after a lengty intensive care unit admission, following several lapartomies, complicated by
prolonged intubation and tracheal stricture.
Conclusion: Early clinical diagnosis, extensive debridment of necrotized tissue and supportive care will be life saving. If
the patient need prolonged intubation, early percutaneous tracheostomy will reduce the patient's stay in intensive care unit
and decrease future complications.
