ArticleCureus2021
Acute Perforated Appendicitis Complicated by Necrotizing Fasciitis and Bladder Perforation.
Article in Cureus, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 8 papers.
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Who cites it
8 citing papers in PubMed, 11 citations in OpenAlex.
- Necrosis of the diaphragm pleural empyema and pneumomediastinum as rare complications of appendicitis: A case report.IDCases · 2026Article
- Preoperative inflammatory markers in pediatric appendicitis: associations with disease severity, postoperative recovery, pain, and surgical outcomes.BMC pediatrics · 2025Article
- A Cascade of Abscess, Fasciitis, and Obstruction: Rare Presentation of Perforated Appendicitis.Clinical case reports · 2025Article
- A rare case of necrotizing fasciitis secondary to a perforated appendix.Annals of medicine and surgery (2012) · 2025Article
- [Analysis of clinical data of necrotizing fasciitis secondary to intestinal fistulas and screening the mortality risk factors].Zhonghua shao shang yu chuang mian xiu fu za zhi · 2024Observational
- Article
- Necrotizing fasciitis of the back originating from a perforated appendicitis: A case report.International journal of surgery case reports · 2022Article
- Article
Corrections and comments
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Authors and funding
1 author at 1 institution in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
Acute uncomplicated appendicitis is a common surgical disease that has been well-studied, and its overall mortality has decreased over time. However, delay in treatment can be associated with rare complications such as necrotizing fasciitis, which carries a high mortality rate, and bladder perforation. We present such a case in an 81-year-old female with no significant surgical history who presented to the emergency department with four days of abdominal pain. A CT scan revealed extensive subcutaneous air in the abdominal wall, an inflamed appendix, and a periappendiceal abscess. During subsequent exploratory laparotomy, she was also found to have bladder perforation. She underwent debridement of necrotic tissue of the abdominal wall, appendectomy, drainage of periappendiceal abscess, and bladder perforation repair. She died of septic shock on post-operative day 19, due to gross spillage of urine into the abdomen and ongoing necrotizing fasciitis. Acute perforated appendicitis can lead to rare and fatal complications. Our case presents such a patient with a poor outcome. In approaching a patient with signs of peritonitis, differential diagnoses must remain broad to include late complications such as abscess formation, soft tissue infection, and perforation of surrounding structures.
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