PMC6230428_01
Case 1. (a, b) Admission day. Emergent laparotomy findings. The bladder wall and peritoneum showed remarkable redness and edematous changes (a). Left pretibial skin showed erythema and a few small scabs (b). (c) Four days after admission. The deeper section where scabs of the pretibial area were removed showed severe necrotic findings. (d) Two weeks after admission. After several rounds of debridement for NF at the pretibial area.
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Although there were purulent ascites, remarkable redness, and edema of both the small intestine and bladder wall throughout the lower abdominal cavity, there was no perforation of the gastrointestinal or urinary tract (Figure 1(a)). Infection and necrosis of the leg were gradually becoming more evident and severe (Figures 1(b) and 1(c)). In addition, repeated debridement (Figure 1(d)) and skin grafting were performed.