10 October 2025
: Case report 
Uterine Dehiscence and Abdominal Wall Necrotizing Fasciitis Following Cesarean Section: A Case Report
Unusual clinical course
Rana Alamoudi AE 1*, Hiba Alenazi
E 1, Hanin Mohammed Yaqoob Ahmad B 2, Nedaa Bahkali E 1
DOI: 10.12659/AJCR.948791
Am J Case Rep 2025; 26:e948791
Table 2 Review of literature.
| Title | Authors | Isolated organism | Name of antibiotic | Elective vs emergency | Hysterectomy | Intact rectus |
|---|---|---|---|---|---|---|
| Necrotizing fasciitis presenting as a blister: A case report on improving early recognition of surgical site infection following cesarean delivery []10 | Alison Rothman, Nnabuike Chibuoe Ngene | Piperacillin-tazobactam | EMCS | No | Intact | |
| Necrotizing fasciitis – a rare complication following common obstetric operative procedures: report of 2 cases []11 | Rubin Medhi, Suditi Rai, et al | and spp. | Piperacillin-tazobactam and Gentamicin | EMCS | No | Not mentioned |
| Puerperal septic shock and necrotizing fasciitis caused by staphylococcus caprae and Escherichia coli [12] | Yu-Jin Koo | Ertapenem and ampicillin/sulbactam | EMCS | No | Intact | |
| Necrotizing fasciitis following a preterm cesarean delivery [13] | Chia Hau Liu, Tien-Shiang Wang | Bacteroides taiotaomicron and Prevotella bivia | Piperacillin-tazobactam | EMCS | No | Not mentioned |
| Hyperbaric oxygen therapy for cesarean section wound in diabetes mellitus gravida [14] | Jeng-Hisu Hung, Jia-Hrong Wang, et al | Teicoplanin and (Tazocin) | EMCS | No | Intact | |
| Post-analytical error in fatal post-cesarean necrotizing fasciitis and sepsis: A case study [15] | Thomas Wesley Williamson, Kathleen M. Kenwright, et al | , , and species | Took antibiotics | EMCS | No | Not mentioned |
| Post-partum rectus sheath hematoma complication: Case report [16] | Makenzy M Sufficol, Iqra B Sheikh, et al | No organisms or polymor-phonuclear leukocytes | ELCS | No | Not mentioned | |
| Necrotizing fasciitis post-cesarean section leading to transabdominal hysterectomy [17] | Alvina Liang, Mary Boluwatife Idowu, et al | , , and | Took antibiotics | EMCS | Yes | No |
| Necrotizing fasceitis post-cesarean section [18] | R Illia, R Durlach, et al | Beta-hemolytic streptococcus. , MR | Penicillin, gentamycin and rifampicin | EMCS | No | Not mentioned |
| Fulminating post-cesarean necrotizing fasciitis: a rare and lethal condition successfully managed in a resource-disadvantaged setting in Sub-Saharan Africa [19] | Carlson-Babila Sama, Conrad S. Tankou, et al | Not mentioned | Metronidazole, ceftriaxone, and gentamycin | EMCS | No | Not mentioned |
| Postpartum necrotizing endomyometritis requiring emergency hysterectomy [20] | Zi Ying Zhao, Andrew Zakhari, et al | Took antibiotics | EMCS | Yes | Not mentioned | |
| Necrotizing fasciitis of anterior abdominal wall following cesarean section in a low-risk patient []5 | Manisha Chhetry, Basudeb Banerjee, et al | Methicillin-resistant | Piperacillin-tazobactam and clindamycin amikacin | EMCS | No | Not mentioned |
| Necrotizing fasciitis of abdominal wall after cesarean section [21] | Krowlikowski A, Gowri V, et al | Meropenem and Amikacin | EMCS | No | Not mentioned | |
| A case of necrotizing fasciitis developing after cesarean section [22] | İsa Kaplan | sp | Ampicillin/sulbactam, gentamicin and clindamycin, vancomycin | EMCS | No | Intact |
| Polymicrobial abdominal wall necrotizing fasciitis after cesarean section [23] | JP DeMuro, AF Hanna, et al | , , , and 2 strains of | Not mentioned | EMCS | No | Intact |
| Nosocomial zygomycotic post-surgical necrotizing fasciitis in a healthy adult caused by in South India [24] | MS Mathews, A Raman, et al | , . zygomycotic | Penicillin, gentamicin and metronidazole. amikacin and ceftazidime and amphotericin B | EMCS | No | Not mentioned |