Necrotizing fasciitis - right thigh

Case contributed by Maxime St-Amant
Diagnosis almost certain

Presentation

ICU patient with a complex medical history of vascular disease, diabetes, heart disease, kidney failure who presented with thigh pain, cellulitis and subcutaneous abscess.

Patient Data

Age: 80 years
Gender: Male

There is extensive fat stranding starting from the inferior right pelvic region and descending inferiorly in the medial portion of the thigh which insinuates between fasciae, associated with a hypodense collection and subcutaneous air near the femoro-femoral bypass. 

Case Discussion

The findings are compatible with acute necrotizing fasciitis with abscess and possible bypass infection.

How to use cases

You can use Radiopaedia cases in a variety of ways to help you learn and teach.

Creating your own cases is easy.

Updating… Please wait.

 Unable to process the form. Check for errors and try again.

 Thank you for updating your details.