Uterine necrosis and anterior abdominal wall necrotizing fasciitis following cesarean section at the Yaoundé Central Hospital: about 2 cases

Abstract

Necrotizing fasciitis is a highly invasive and rare, but potentially lethal condition, often requiring extensive soft tissue debridement and complex reconstructive surgery. The disease has been noted to warrant urgent and aggressive surgical management. Other acute abdomen differentials should be considered, as the patient is prepared to an exploratory laparotomy where a necrotic anterior abdominal wall with copious purulent secretions was noted. The two cases we are presenting showed anterior abdominal wall and uterine necrosis complicating caesarean section in the post operative period needing hysterectomy and aggressive surgical debridement. We had a good outcome in both patients.