Necrotizing Soft Tissue Infection Secondary to Traumatic Perineal Injury with Pelvic Fracture—A Case Report—

Key Points

• To describe a severe case of necrotizing soft tissue infection following a complex perineal injury due to a pelvic fracture.
• Reviewed a 59-year-old male with a traumatic pelvic injury.
• Conducted emergency examination and surgeries including drainage and debridement.
• Implemented about two weeks of ICU care and over one month of infection treatment.
• Patient underwent four debridement procedures and healed through split-thickness skin grafting.
• Closure of the artificial anus was performed after one year, allowing for return to work.
• Highlighting the importance of prompt management in perineal injuries related to pelvic fractures.