Necrotizing Fasciitis of the Abdominal Wall after Laparoscopic Roux-en-Y Gastric Bypass

Introduction: Necrotizing fasciitis is a devastating infectious process with a mortality rate of greater than 20 percent. Rapid recognition of this disease process is critical, as mortality is positively correlated with increased time to intervention. This case report describes the presentation and successful management of a patient with severe, life-threatening necrotizing fasciitis. Case presentation: The patient, a 42-year-old woman with a body mass index (BMI) of 47kg/m,2 had undergone laparoscopic Roux-en-Y gastric bypass (RYGB) prior to presentation. Her past medical history has not got. Her surgical historyhas not got. She is not  took medications. She had no allergies, did not smoke, and did not drink alcohol. Conclusion: Necrotizing fasciitis is an infectious process with a high mortality rate, and mortality is positively correlated with increased time to intervention. In light of this, rapid detection and diagnosis of this disease process is critical. Our case demonstrates that for correct diagnosis we need to a high index of suspicion.