{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,26]],"date-time":"2026-08-26T14:35:35Z","timestamp":1787754935059,"version":"build-2784847793"},"reference-count":11,"publisher":"Ovid Technologies (Wolters Kluwer Health)","issue":"2","content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["JBJS Case Connector"],"published-print":{"date-parts":[[2016,6,8]]},"abstract":"<jats:sec>\n                    <jats:title>Case:<\/jats:title>\n                    <jats:p>Diverticular disease and its associated complications are an increasing problem among Western populations. Perforated diverticulitis results in intra-abdominal sepsis, which rarely causes a life-threatening necrotizing soft-tissue infection. We present the case of a 70-year-old man with a sigmoid diverticulitis perforation presenting as necrotizing fasciitis of the thigh and calf requiring serial debridement and major limb reconstruction.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion:<\/jats:title>\n                    <jats:p>Clinicians should be aware of index presentations of diverticulitis and its recognized complications in this demographic group. For the orthopaedic and the general surgeon, knowledge of the dangers of the concomitant presence of these 2 conditions will substantially reduce morbidity and mortality.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.2106\/jbjs.cc.15.00217","type":"journal-article","created":{"date-parts":[[2016,6,9]],"date-time":"2016-06-09T15:37:53Z","timestamp":1465486673000},"page":"e44","source":"Crossref","is-referenced-by-count":2,"title":["Necrotizing Fasciitis of the Thigh and Calf: A Reminder to Exclude a Perforated Intra-Abdominal Viscus"],"prefix":"10.2106","volume":"6","author":[{"given":"Martin J.","family":"Connor","sequence":"first","affiliation":[{"name":"Departments of Colorectal Surgery (M.J.C., A.T., and T.A.) and Orthopaedic Surgery (S.G.), Ealing Hospital, London North West Healthcare NHS Trust, London, United Kingdom"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Amelia R.","family":"Thomson","sequence":"additional","affiliation":[{"name":"Departments of Colorectal Surgery (M.J.C., A.T., and T.A.) and Orthopaedic Surgery (S.G.), Ealing Hospital, London North West Healthcare NHS Trust, London, United Kingdom"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Simon","family":"Grange","sequence":"additional","affiliation":[{"name":"Departments of Colorectal Surgery (M.J.C., A.T., and T.A.) and Orthopaedic Surgery (S.G.), Ealing Hospital, London North West Healthcare NHS Trust, London, United Kingdom"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Tushar","family":"Agarwal","sequence":"additional","affiliation":[{"name":"Departments of Colorectal Surgery (M.J.C., A.T., and T.A.) and Orthopaedic Surgery (S.G.), Ealing Hospital, London North West Healthcare NHS Trust, London, United Kingdom"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"276","reference":[{"issue":"4","key":"bib1-20230712","first-page":"416","article-title":"Necrotizing fasciitis","volume":"18","author":"Wilson","year":"1952","journal-title":"Am Surg."},{"issue":"7495","key":"bib2-20230712","doi-asserted-by":"crossref","first-page":"830","DOI":"10.1136\/bmj.330.7495.830","article-title":"Necrotising fasciitis","volume":"330","author":"Hasham","year":"2005","journal-title":"BMJ."},{"issue":"5","key":"bib4-20230712","doi-asserted-by":"crossref","first-page":"705","DOI":"10.1086\/511638","article-title":"Necrotizing soft-tissue infection: diagnosis and management","volume":"44","author":"Anaya","year":"2007","journal-title":"Clin Infect Dis."},{"issue":"2","key":"bib5-20230712","doi-asserted-by":"crossref","first-page":"293","DOI":"10.1017\/S095026880500484X","article-title":"Cellulitis incidence in a defined population","volume":"134","author":"Ellis Simonsen","year":"2006","journal-title":"Epidemiol Infect."},{"issue":"4","key":"bib6-20230712","doi-asserted-by":"crossref","first-page":"542","DOI":"10.1007\/s11605-007-0126-y","article-title":"Controversies in the surgical management of sigmoid diverticulitis","volume":"11","author":"Bordeianou","year":"2007","journal-title":"J Gastrointest Surg."},{"issue":"4","key":"bib7-20230712","doi-asserted-by":"crossref","first-page":"430","DOI":"10.1007\/s004649901007","article-title":"Diagnosis and treatment of diverticular disease: results of a consensus development conference","volume":"13","author":"K\u00f6hler","year":"1999","journal-title":"Surg Endosc."},{"key":"bib8-20230712","first-page":"85","article-title":"Treatment of perforated diverticular disease of the colon","volume":"12","author":"Hinchey","year":"1978","journal-title":"Adv Surg."},{"issue":"8","key":"bib9-20230712","doi-asserted-by":"crossref","first-page":"625","DOI":"10.1177\/014107688107400815","article-title":"Perforated sigmoid diverticulum with necrotizing fasciitis of the abdominal wall","volume":"74","author":"Harrison","year":"1981","journal-title":"J R Soc Med."},{"issue":"1","key":"bib10-20230712","doi-asserted-by":"crossref","first-page":"10","DOI":"10.1186\/1749-7922-3-10","article-title":"Perforated diverticulitis presenting as necrotising fasciitis of the leg","volume":"3","author":"Underwood","year":"2008","journal-title":"World J Emerg Surg."},{"issue":"9","key":"bib11-20230712","doi-asserted-by":"crossref","first-page":"1150","DOI":"10.1080\/00016340600613816","article-title":"Perforated appendicitis during near-term pregnancy causing necrotizing fasciitis of the lower extremity: a rare complication of a common disease","volume":"85","author":"Penninga","year":"2006","journal-title":"Acta Obstet Gynecol Scand."},{"issue":"5","key":"bib12-20230712","doi-asserted-by":"crossref","first-page":"672","DOI":"10.1097\/00000658-199611000-00011","article-title":"Necrotizing soft tissue infections. Risk factors for mortality and strategies for management","volume":"224","author":"Elliott","year":"1996","journal-title":"Ann Surg."}],"container-title":["JBJS Case Connector"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/www.ovid.com\/01709767-201606020-00023","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,8,26]],"date-time":"2026-08-26T13:35:09Z","timestamp":1787751309000},"score":1,"resource":{"primary":{"URL":"https:\/\/www.ovid.com\/01709767-201606020-00023"}},"subtitle":["A Case Report"],"short-title":[],"issued":{"date-parts":[[2016,6,8]]},"references-count":11,"journal-issue":{"issue":"2","published-print":{"date-parts":[[2016]]}},"URL":"https:\/\/doi.org\/10.2106\/jbjs.cc.15.00217","relation":{},"ISSN":["2160-3251"],"issn-type":[{"value":"2160-3251","type":"electronic"}],"subject":[],"published":{"date-parts":[[2016,6,8]]}}}