Department of Surgery, Tamale Teaching Hospital, Box TL 16, Tamale, Ghana. Department of Surgery; School of Medicine and Health Sciences, University for Development Studies, Box TL 1350, Tamale, Ghana.
Department of Surgery, Tamale Teaching Hospital, Box TL 16, Tamale, Ghana. Department of Surgery; School of Medicine and Health Sciences, University for Development Studies, Box TL 1350, Tamale, Ghana.
Department of Surgery, Tamale Teaching Hospital, Box TL 16, Tamale, Ghana. Department of Surgery; School of Medicine and Health Sciences, University for Development Studies, Box TL 1350, Tamale, Ghana.
Department of Obstetrics and Gynecology, Tamale Teaching Hospital, Box TL 16, Tamale, Ghana
Department of Surgery, Tamale Teaching Hospital, Box TL 16, Tamale, Ghana.
Department of Surgery, Tamale Teaching Hospital, Box TL 16, Tamale, Ghana.
Department of Surgery, Tamale Teaching Hospital, Box TL 16, Tamale, Ghana.
Department of Surgery, Tamale Teaching Hospital, Box TL 16, Tamale, Ghana.
Department of Surgery, Tamale Teaching Hospital, Box TL 16, Tamale, Ghana.
Department of Surgery, Tamale Teaching Hospital, Box TL 16, Tamale, Ghana.
Department of Surgery, Tamale Teaching Hospital, Box TL 16, Tamale, Ghana.
Department of Surgery, Tamale Teaching Hospital, Box TL 16, Tamale, Ghana.
Department of Surgery, Tamale Teaching Hospital, Box TL 16, Tamale, Ghana.
Abstract
Necrotizing soft tissue infection (NSTI) is an aggressive and rapidly spreading soft tissue infection that could be associated with high mortality. Early diagnosis can be challenging and so a high index of suspicion is needed. Bedside ultrasonography (USG) and computed tomography (CT) scan could be employed to aid in diagnosis. The objective of this report is to describe the diagnostic process in a resource challenged setting and review the literature. We present an elderly patient with necrotizing fasciitis of the anterior abdominal wall as a complication of neglected strangulated Richter’s epigastric hernia that resulted in mortality.
Keywords:
necrotizing fasciitis, epigastric hernia, LRINEC score, neglected, Ghana
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Copyright © 2020 Anwar Sadat Seidu Edwin M. T. Yenli Martin Kyereh David P. Suoseg Musah Yakubu Bernard N. Maanikuu Gerald Batariwah Emmanuel A. N. Azure Imoro Osman Haruna Danamiji Osman Abdul-Latif Alhassan Abdul Aziz Ewura John F. Busuuri this is an open access article distributed under the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.
This work is licensed under a Creative Commons Attribution 4.0 International License.