necrotizing soft tissue infections in laparoscopic colectomy: a case report

Background: necrotizing soft tissue infections (nsti (are a major surgical complication relating to skin wounds. although laparoscopic surgeries often cause minimal wound infection, nsti is still a potentially fatal surgical complication. this article is going to report a case of necrotizing soft tissue infection (nsti) following laparoscopic total colectomy. case presentation: an otherwise healthy 65-year-old woman with early stage of colon adenocarcinoma underwent laparoscopic colectomy. a diagnosis of nsti was made five days after primary operation. the culture grew enterococcus faecalis (sensitive to: ciprofloxacin, ampicillin, vancomycin, gentamycin and linezolid). the patient was treated with broad-spectrum antibiotics and surgical debridement. conclusions: we report a case of nsti with enterococcus faecalis following laparoscopic total colectomy. the isolated microorganism is not common in monobacterial nsti. administration of broad-spectrum antibiotics and surgical debridement help the patient to survive.