ArticleTrauma case reports2026
Extensive necrotizing fasciitis of the thoracic wall and retroperitoneum following penetrating trauma: A case report of severe septic shock and multistage surgical management.
Article in Trauma case reports, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.
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Abstract
Introduction: Necrotizing fasciitis (NF) of the thoracic wall with retroperitoneal extension is an exceptionally rare and life-threatening condition. It is associated with high morbidity and mortality due to its rapid progression, diagnostic difficulty, and complex surgical requirements. Case presentation: A previously healthy male developed fulminant NF following minor penetrating thoracic trauma. He presented with septic shock, leukocytosis (WBC 54,000/μL), and lactic acidosis. Imaging revealed gas-forming infection extending from the thoracic fascia into the retroperitoneum. The LRINEC score was 10. Cultures identified Conclusion: This case underscores the diagnostic and therapeutic challenges of truncal NF. Early recognition, aggressive surgical intervention, and coordinated critical care are vital to survival in such catastrophic infections.
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