Abdominal wall necrotising fasciitis: A rare but devastating complication of the percutaneous endoscopic gastrostomy procedure

• Published in: Medical Journal of Malaysia
• Main Author: Mohd Said M.R.; Rani R.A.; Raja Ali R.A.; Soon N.C.
• Format: Article
• Language: English
• Published: Malaysian Medical Association 2017
• Online Access: https://www.scopus.com/inward/record.uri?eid=2-s2.0-85013997275&partnerID=40&md5=7edcd4624a2c5d4ddb889ec7285c79d3

Percutaneous Endoscopic Gastrostomy (PEG) tubes were often offered to patients requiring long term enteral feeding. Even though the procedure is relatively safe, it is associated with various complications such as peritonitis or even death.1 We presented a case of a 54-year-old gentleman with underlying ischemic stroke and pus discharges from a recently inserted PEG tube. Computed Topography (CT) scan confirmed abdominal wall necrotising fasciitis complicated with hyperosmolar hyperglycaemia state (HHS) and later succumbed after 48 hours of admission. Our case illustrated the rare complication related to the insertion of PEG tube; abdominal wall necrotising fasciitis that was associated with mortality. © 2017, Malaysian Medical Association. All rights reserved.