Necrotizing soft tissue infections (NSTI (are a major surgical complication relating to skin wounds. Although laparoscopic surgeries often cause minimal wound infection, NSTI is still a potentially fatal surgical complication. This article is going to report a case of necrotizing soft tissue infection (NSTI) following laparoscopic total colectomy.

An otherwise healthy 65-year-old woman with early stage of colon adenocarcinoma underwent laparoscopic colectomy. A diagnosis of NSTI was made five days after primary operation. The culture grew Enterococcus Faecalis (sensitive to: ciprofloxacin, ampicillin, vancomycin, Gentamycin and linezolid). The patient was treated with broad-spectrum antibiotics and surgical debridement.

We report a case of NSTI with Enterococcus Faecalis following laparoscopic total colectomy. The isolated microorganism is not common in monobacterial NSTI. Administration of broad-spectrum antibiotics and surgical debridement help the patient to survive.