Abstract

Background: Postpartum morbidities such as infection, hemorrhage and thromboemboli are more common in cesarean than vaginal delivery. Necrotizing fasciitis is a rare and fetal infection of skin and soft tissues which involve cesarean incision, episiotomy site and prineal lacerations. The aim of this report is to introduce a case of necrotizing fasciitis after cesarean delivery.

Case: We report a case of necrotizing fasciitis after urgent cesarean delivery in a 21 years old woman with gestational diabetes. The patient survived after a lengty intensive care unit admission, following several lapartomies, complicated by prolonged intubation and tracheal stricture.

Conclusion: Early clinical diagnosis, extensive debridment of necrotized tissue and supportive care will be life saving. If the patient need prolonged intubation, early percutaneous tracheostomy will reduce the patient's stay in intensive care unit and decrease future complications.

Keywords: Cesarean delivery, necrotizing fasciitis, percutaneous tracheostomy.

Graphical Abstract