From Fibroids to Fasciitis: A Rare Case of Necrotizing Fasciitis Post-Abdominal Hysterectomy

Necrotizing fasciitis is a life-threatening bacterial infection characterized by rapid tissue destruction and systemic inflammation. Although it is rare, it can occur at surgical incision sites in procedures such as open abdominal hysterectomy. Prompt diagnosis and treatment are essential to prevent sepsis and multi-organ failure. We present a case of a 39-year-old morbidly obese African American woman with a history of type II diabetes that developed necrotizing fasciitis at a transverse incision site following an abdominal hysterectomy. The infection was complicated by a urinary tract infection caused by Proteus mirabilis. Surgical debridement and antibiotic therapy were successfully employed to treat the infection. This case emphasizes the importance of clinical suspicion, early intervention, and appropriate antimicrobial therapy in managing necrotizing fasciitis at incision sites, particularly in patients with additional risk factors.