Background: Post-cesarean delivery necrotizing fasciitis occurs infrequently. When it does occur, the devastating consequences include significant maternal morbidity and mortality. Case: A 26 year-old gravida 3, para 1, morbidly obese, nondiabetic woman presented with necrotizing fasciitis 10 days after undergoing cesarean delivery. Results: The patient did not improve clinically until a hysterectomy was performed 6 days after initial debridement. Conclusions: Inspection of the uterus and hysterotomy site on initial wound debridement is warranted in post-cesarean necrotizing fasciitis. Hysterectomy may be necessary if the patient's course does not improve. (J GYNECOL SURG 30:370)
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