Article Figures & Data
Figures
- Figure 1
CT scan on the day of presentation. There is a 23×10×18 cm heterogeneous collection containing air in the subcutaneous soft tissues. There is extension of the collection into the thoracic cavity, involving the pleural space as well as the upper mediastinum. The left lower lobe and lingula are collapsed, and only the upper left lung remains aerated. The tracheobronchial tree is unaffected.
- Figure 2
The patient underwent serial debridements and pleural cavity drainage. After surgical control of the necrotizing soft tissue infection, the chest wall wound healed well and was treated with a negative-pressure dressing changes. Here is a photo of the wound 5 days after initiation of wound vacuum assisted closure (VAC) therapy. There is extensive granulation tissue at the base of the wound and no residual necrotic tissue.
- Figure 3
Two months after initial presentation. Left chest wall following reconstruction with a pedicled latissimus dorsi flap.
