Fernandez, L.G., Matthews, M.R., Ellman, C., Jackson, P., Villareal, D.H. and Norwood, S. (2020) Use of Reticulated Open Cell Foam Dressing with through Holes during Negative Pressure Wound Therapy with Instillation and Dwell Time: A Large Case Study. Wounds, 32, 279-282.

has been cited by the following article:

• TITLE: Necrotizing Fasciitis Secondary to Emphysematous Cholecystitis and Cholecystocutaneous Fistula: A Rare Case Report Presentation

  AUTHORS: Alexandra N. Dominianni, Samantha A. Delapena, Luis G. Fernandez, Mostaffa T. Jabassini, Sean F. O’Keefe, Rachel L. Villanueva, Marc R. Matthews

  KEYWORDS: Emphysematous Cholecystitis, Gangrenous Cholecystitis, Cholecystocutaneous Fistula, Necrotizing Fasciitis, Sepsis

  JOURNAL NAME: Surgical Science, Vol.14 No.5, May 31, 2023

  ABSTRACT: Emphysematous cholecystitis is a rare subtype of acute cholecystitis characterized by the presence of gas in the gallbladder wall secondary to ischemia. Typically, this is a result of cystic artery vascular compromise with a concomitant infection from gas-forming organisms such as Clostridium species, Klebsiella species, or Escherichia coli. The mortality rate of acute emphysematous cholecystitis is 15% - 20% compared with 1.4% in uncomplicated acute cholecystitis. The subsequent development of a cholecystocutaneous fistula, an abnormal connection between the gallbladder and the skin, is also a rare complication of gallbladder disease. We describe a case of a 77-year-old male who presented with right flank necrotizing fasciitis which developed from a cholecystocutaneous fistula secondary to emphysematous cholecystitis. Once the necrotic tissues were adequately debrided, the large open wound was treated with negative pressure wound therapy with instillation (NPWT-i) utilizing hypochlorous acid (HOCL). The wound was closed with a split-thickness skin graft.