J Wound Manag Res.  2019 Sep;15(2):130-133. 10.22467/jwmr.2019.00836.

Necrotizing Fasciitis from a Percutaneous Transhepatic Biliary Drainage Site

• Choi J
• Cho JT
• Choi JY
• Jung SN
• Seo BF

• KMID: 2465858
• DOI: http://doi.org/10.22467/jwmr.2019.00836

Abstract

Percutaneous transhepatic biliary drainage (PTBD) is the established method of treatment for benign or malignant biliary obstruction. Although relatively safe, the procedure is associated with complications including intraperitoneal bile leak, pancreatitis, cholangitis, biliary peritonitis, and hemorrhage. Extraperitoneal complications are rare. Here, we document a case in which necrotizing fasciitis developed in the extraperitoneal plane surrounding the transcutaneous drainage site. The patient was managed with PTBD removal, drainage and debridement of necrotic tissues, and intravenous antibiotics.

Keyword

Fasciitis, necrotizing; Biliary tract diseases; Debridement

MeSH Terms

Anti-Bacterial Agents
Bile
Biliary Tract Diseases
Cholangitis
Debridement
Drainage*
Fasciitis, Necrotizing*
Hemorrhage
Humans
Methods
Pancreatitis
Peritonitis
Anti-Bacterial Agents