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In anatomy, the abdominal wall represents the boundaries of the abdominal cavity. The abdominal wall is split into the posterior (back), lateral (sides) and anterior (front) walls

Medical Professional. Clostridial myonecrosis computed tomography. Intravascular hemolysis. Clostridial myonecrosis (gas gangrene) is a life-threatening muscle infection that develops either contiguously from an area of trauma or hematogenously from the gastrointestinal tract with muscle seeding. Early recognition and aggressive treatment are essential. There are two major presentations of clostridial gas gangrene: traumatic and spontaneous.

Gas gangrene (also known as clostridial myonecrosis and myonecrosis) is a bacterial infection that produces tissue gas in gangrene. This deadly form of gangrene usually is caused by Clostridium perfringens bacteria. About 1,000 cases of gas gangrene are reported yearly in the United States. Myonecrosis is a condition of necrotic damage, specific to muscle tissue. It is often seen in infections with C. perfringens or any of myriad soil-borne anaerobic bacteria.

Untreated clostridial myonecrosis almost always results in death. Advanced age and comorbid conditions are associated with a higher likelihood of mortality. Gas gangrene with blisters. Surgical exploration confirms the diagnosis of myonecrosis. Affected muscle appears pale and shows no contractile function when incised or electrically stimulated. The threshold for operative exploration should be very low if the diagnosis is under consideration as disease is very morbid and fatal. Abdominal involvement requires excision of the body wall musculature. Uterine gas gangrene following septic abortion usually requires hysterectomy. But it could be a difficult decision in nulliparous woman and should be considered for. Failure to respond to antibiotics within first 24 hours. Evidence of necrotizing soft tissue infection.

Clostridial necrotizing soft tissue infections are often fatal. Myonecrosis of the torso is a particularly lethal combination given the classic need for radical debridement of the abdominal and thoracic walls, and therefore total exposure of the intraperitoneal and intrathoracic viscera. This case is unusual do to our ability to preserve anatomical separation between the viscera and the atmosphere. We present a 42-year-old Caucasian man with obesity and diabetes who developed clostridial myonecrosis of his right torso following a mesenteric lymph node biopsy. Journal of Medical Case Reports2013.