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July 4, 2026BMC SurgeryOpen Access

Fulminant truncal necrotizing fasciitis of perianal origin with mediastinal extension: a case report

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Authors

HLHaoyan LiCCChaoyun ChenZWZi Wang

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Overview

Case report reveals a rare, severe infection in a man, indicating urgent intervention is vital for survival.

Key Points

  • The aim is to illustrate the critical nature of early diagnosis and intervention in a rare case of necrotizing fasciitis.
  • Case presentation of a 34-year-old man with necrotizing fasciitis after perianal procedures.
  • Emergency debridement and microbiological cultures were conducted to ascertain the infection's extent and type.
  • Multidisciplinary management included surgical intervention, organ support, and anti-infective therapy.
  • Infection rapidly extended from the ischiorectal fossa to the mediastinum with type I polymicrobial pathogens confirmed.
  • Postoperative complications included hypoxemic respiratory failure requiring invasive ventilation, with gradual recovery noted after intervention.
  • Patient was successfully extubated and discharged after comprehensive treatment and monitoring.

Cite This Study

Li et al. (2026) studied this question.

synapsesocial.com/papers/6a48a30989561a0c2d78d50ahttps://doi.org/10.1186/s12893-026-04001-z
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