CLOSTRIDIAL MYONECROSIS OF ANTERIOR ABDOMINAL WALL

Abstract

This is a rare case report of anterior abdominal wall clostridial myonecrosis developing spontaneously in a young patient without any pre-existing disease or history of any trauma/ surgery.

Extensive debridement of necrotic muscle tissue was done and wound was closed by approximating the overlying rectus sheath and skin flaps (uninvolved). Patient was subsequently managed with broad spectrum antibiotics and fluid resuscitation, but succumbed to overwhelming sepsis.

A high index of suspicion & an aggressive management including thorough debridement, intensive monitoring & resuscitation is essential for the diagnosis & treatment of this life threatening condition.

Keywords: Spontaneous, myonecrosis, clostridial infection, gas gangrene, anterior abdominal wall necrosis