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Peer-reviewedCC BY-NC-NDRadiology Case Reports

Necrotizing abdominal wall infection along a prior drain pathway: A case report and literature review

  • Ryan Halpin O' Leary, BMBS, MSc1
  • Daniel Kleiner, BMed2
  1. 1Corresponding author.
  2. 2Department of General Surgery, Wellington Regional Hospital, Wellington, New Zealand
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Abstract

We report the case of a 37-year-old female with uncontrolled type 2 diabetes mellitus with an HbA1c of 106 mmol/mol who developed a necrotizing abdominal wall infection at the site of a prior percutaneous drain insertion for tubo-ovarian abscesses. The patient presented with recurrent flank pain, cellulitis, and a systemic inflammatory response, with imaging findings highly suspicious for necrotizing infection, which was confirmed at surgical exploration. Emergency surgical debridement, critical care support, and antibiotic therapy were required. This case highlights the need for awareness surrounding the rarity of a necrotizing infection along interventional radiology drain pathways, and we review the relevant literature.

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Cite

BibTeXRIS
BibTeX
@article{ryanhalpinoleary2026necrotizing,
  title = {{Necrotizing abdominal wall infection along a prior drain pathway: A case report and literature review}},
  author = {Ryan Halpin O' Leary, BMBS, MSc and Daniel Kleiner, BMed},
  journal = {Radiology Case Reports},
  year = {2026},
  month = oct,
  doi = {10.1016/j.radcr.2026.10.013},
  url = {https://doi.org/10.1016/j.radcr.2026.10.013},
  note = {CC BY-NC-ND},
}
RIS
TY  - JOUR
TI  - Necrotizing abdominal wall infection along a prior drain pathway: A case report and literature review
AU  - Ryan Halpin O' Leary, BMBS, MSc
AU  - Daniel Kleiner, BMed
PY  - 2026
DA  - 2026/10/24
JO  - Radiology Case Reports
DO  - 10.1016/j.radcr.2026.10.013
UR  - https://doi.org/10.1016/j.radcr.2026.10.013
AB  - We report the case of a 37-year-old female with uncontrolled type 2 diabetes mellitus with an HbA1c of 106 mmol/mol who developed a necrotizing abdominal wall infection at the site of a prior percutaneous drain insertion for tubo-ovarian abscesses. The patient presented with recurrent flank pain, cellulitis, and a systemic inflammatory response, with imaging findings highly suspicious for necrotizing infection, which was confirmed at surgical exploration. Emergency surgical debridement, critical care support, and antibiotic therapy were required. This case highlights the need for awareness surrounding the rarity of a necrotizing infection along interventional radiology drain pathways, and we review the relevant literature.
SN  - 1930-0433
ER  -