Necrotizing fasciitis following transobturator tape procedure: a case report and literature review

A 51-year-old diabetic woman was referred to our unit with ahistory of increasing pain in her right thigh and gait disturbance,10 days following surgery for treatment of stress urinary incontinencewith a transobturator tape. Examination elicited a tenderright thigh associated with swelling and eryth...

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Bibliographic Details
Published in:Canadian Urological Association journal 2013-04, Vol.5 (4), p.65
Main Authors: Lee, Kwang Yeom, Sim, Jae Ang, Lee, Sheen Woo, Kim, Tae Beom, Yoon, San Jin, Park, Kyung Seo, Kim, Khae-Hawn
Format: Article
Language:English
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Summary:A 51-year-old diabetic woman was referred to our unit with ahistory of increasing pain in her right thigh and gait disturbance,10 days following surgery for treatment of stress urinary incontinencewith a transobturator tape. Examination elicited a tenderright thigh associated with swelling and erythema. Inspection ofthe vagina revealed an exposed mesh through the vaginal erosion.Plain radiographs and magnetic resonance imaging revealed largethigh abscesses suggestive of gas gangrene from the pelvis to thecalf. The mesh was completely removed; extensile incisions, aswell as aggressive debridement of all necrotic tissue in the thighand calf, were performed. A diagnosis of necrotizing fasciitis withgas extending to the lower leg level was confirmed. After meshremoval, abscess drainage and debridement, the patient recoveredwith antibiotics and daily wound care. Three months afterthe operation, the patient showed no recurrence of the infection.
ISSN:1911-6470
1920-1214
DOI:10.5489/cuaj.675