Een vrouw met buikpijn en snel toenemende huidafwijkingen

We present a 77-year-old woman with suspicion of hepatogenic and lymphogenic metastatic coloncarcinoma who developed a rapidly expanding subcutanaeous emphysema and hematoma formation. Computerized tomography (CT) pelvis with contrast revealed extensive free air in abdomen and leg compatible with fasciits necroticans. Blood cultures came out positive for Clostridium septicum. Despite intravenous antibiotics her condition deteriorated rapidly and she passed away.

Conflict of interest and financial support: ICMJE forms provided by the authors are available online along with the full text of this article.