Jha Sonika, Singh Devinder Pal
Junior Resident, Department of General Surgery, Government Medical College and Rajindra Hospital , Patiala, Punjab, India .
Professor, Department of General Surgery, Government Medical College and Rajindra Hospital , Patiala, Punjab, India .
J Clin Diagn Res. 2016 Nov;10(11):PD32-PD33. doi: 10.7860/JCDR/2016/23257.8897. Epub 2016 Nov 1.
The present case report is of abdominal Necrotising Fascitis in a young Gatka player. The patient was clinically diagnosed to have peritonitis with plan for laparotomy but since ultrasound abdomen showed no free intra-abdominal fluid and any other pathology a Contrast Enhanced Computed tomography (CECT) abdomen was done. CECT showed fluid collections in rectus sheath and superficial fascia. Patient was thus, diagnosed as having abdominal myofascitis and treated accordingly. A review of literature showed that such a clinical presentation of this disease is quite rare and can lead to unnecessary laparotomy and delay in diagnosis leading to morbidity.
本病例报告是关于一名年轻的加特卡运动员患腹部坏死性筋膜炎的情况。患者临床诊断为腹膜炎并计划进行剖腹手术，但由于腹部超声未显示腹腔内有游离液体及其他任何病变，遂进行了腹部增强计算机断层扫描（CECT）。CECT显示腹直肌鞘和浅筋膜有积液。因此，患者被诊断为腹部肌筋膜炎并接受了相应治疗。文献回顾显示，这种疾病的如此临床表现相当罕见，可能导致不必要的剖腹手术以及诊断延迟，进而引发并发症。
