Pseudomonas aeruginosa necrotizing infection of the abdominal flap in a post-bariatric patient undergoing body contouring surgery

Obes Surg. 2009 Jun;19(6):812-6. doi: 10.1007/s11695-008-9730-5. Epub 2008 Oct 25.


Pseudomonas aeruginosa infections may involve any organ or body district and may give serious clinical sequelae. We report the case of an infection of the abdominoplasty flap that compromised wound closure and jeopardized the aesthetic outcome. To the best of our knowledge, this is the first such case reported in the literature for this group of patients. We have presented this case in order to alert plastic and general surgeons who may encounter this complication in future, such that they may be aware of the need to adopt an aggressive approach to manage these patients. This consisted of the accurate monitoring of the patient's clinical condition, prescribing appropriate antibiotics, and performing serial debridement of necrotic tissue.

Publication types

  • Case Reports

MeSH terms

  • Abdominal Wall* / microbiology
  • Abdominal Wall* / surgery
  • Body Image
  • Female
  • Gastroplasty / adverse effects*
  • Humans
  • Middle Aged
  • Pseudomonas Infections / diagnosis
  • Pseudomonas Infections / surgery*
  • Pseudomonas aeruginosa / isolation & purification*
  • Surgical Flaps
  • Surgical Wound Infection / diagnosis
  • Surgical Wound Infection / microbiology
  • Surgical Wound Infection / surgery*