Abstract
The preoperative diagnosis of a cecal perforation associated with Salmonella infection as a cause of abdominal-wall necrotizing fasciitis (AWNF) is clinically difficult. Computed tomography of the abdomen is helpful, and can detect the combined presence of a pneumoscrotum and pneumoperitoneum. Its presence indicates a patent processus vaginalis, which acts as the primary route for the spread of the intra-abdominal infectious process into the abdominal wall. An exploratory laparotomy should be done to confirm the presence of intra-abdominal pathology in order to avoid delayed treatment.
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Accepted: 21 October 1999
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Sy, E., Liu, C., Huang, S. et al. Cecal perforation presenting as abdominal-wall necrotizing fasciitis. Pediatr Surg Int 17, 215–217 (2001). https://doi.org/10.1007/s003830000410
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DOI: https://doi.org/10.1007/s003830000410