{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,11,4]],"date-time":"2026-11-04T18:37:49Z","timestamp":1793817469659,"version":"4.6.1"},"reference-count":22,"publisher":"Japan Surgical Society","issue":"1","content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Surg Case Rep"],"published-print":{"date-parts":[[2026]]},"DOI":"10.70352\/scrj.cr.25-0714","type":"journal-article","created":{"date-parts":[[2026,2,25]],"date-time":"2026-02-25T22:09:41Z","timestamp":1772057381000},"page":"n\/a","source":"Crossref","is-referenced-by-count":2,"title":["A Rare Case of Ascending Necrotizing Mediastinitis following Perforated Appendicitis: A Case Report"],"prefix":"10.70352","volume":"12","author":[{"ORCID":"https:\/\/orcid.org\/0000-0003-0391-3510","authenticated-orcid":false,"given":"Ju Hun","family":"Lee","sequence":"first","affiliation":[{"name":"Division of Vascular Surgery, Department of Surgery, Gachon University Gil Medical Center, Incheon, Korea"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-8041-0143","authenticated-orcid":false,"given":"Jong Eun","family":"Kim","sequence":"additional","affiliation":[{"name":"Department of Radiology, Gachon University Gil Medical Center, Incheon, Korea"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-5966-9030","authenticated-orcid":false,"given":"Soon Ki","family":"Min","sequence":"additional","affiliation":[{"name":"Department of Trauma Surgery, Gachon University Gil Medical Center, Incheon, Korea"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"51119","reference":[{"key":"1","doi-asserted-by":"crossref","unstructured":"1) Stevens DL, Bryant AE. Necrotizing soft-tissue infections. N Engl J Med 2017; 377: 2253\u201365.","DOI":"10.1056\/NEJMra1600673"},{"key":"2","doi-asserted-by":"crossref","unstructured":"2) Das DK, Baker MG, Venugopal K. Increasing incidence of necrotizing fasciitis in New Zealand: a nationwide study over the period 1990 to 2006. J Infect 2011; 63: 429\u201333.","DOI":"10.1016\/j.jinf.2011.07.019"},{"key":"3","doi-asserted-by":"crossref","unstructured":"3) Cocanour CS, Chang P, Huston JM, et al. Management and novel adjuncts of necrotizing soft tissue infections. Surg Infect (Larchmt) 2017; 18: 250\u201372.","DOI":"10.1089\/sur.2016.200"},{"key":"4","doi-asserted-by":"crossref","unstructured":"4) Mills MK, Faraklas I, Davis C, et al. Outcomes from treatment of necrotizing soft-tissue infections: results from the National Surgical Quality Improvement Program database. Am J Surg 2010; 200: 790\u20136; discussion 796\u20137.","DOI":"10.1016\/j.amjsurg.2010.06.008"},{"key":"5","doi-asserted-by":"crossref","unstructured":"5) Falconi S, Wilhelm C, Loewen J, et al. Necrotizing fasciitis of the abdominal wall secondary to complicated appendicitis: a case report. Cureus 2023; 15: e39635.","DOI":"10.7759\/cureus.39635"},{"key":"6","doi-asserted-by":"crossref","unstructured":"6) Lin MS, Chu YC, Ho MP. Abdominal-wall necrotizing fasciitis in an elderly woman. Asian J Surg 2024; 47: 515\u20136.","DOI":"10.1016\/j.asjsur.2023.09.164"},{"key":"7","doi-asserted-by":"crossref","unstructured":"7) Santarrufina-Mart\u00ednez S, Liss\u00f3n MMZY, Primo-Romaguera V, et al. Necrotizing fasciitis of the thigh secondary to perforated rectal cancer: the sciatic foramen as a route for infective spread. Cir Cir 2024; 92: 264\u20136.","DOI":"10.24875\/CIRUE.M21000667"},{"key":"8","doi-asserted-by":"crossref","unstructured":"8) Piedra T, Mart\u00edn-Cuesta L, Arn\u00e1iz J, et al. Necrotizing fasciitis secondary to diverticulitis. Emerg Radiol 2007; 13: 345\u20138.","DOI":"10.1007\/s10140-006-0566-9"},{"key":"9","doi-asserted-by":"crossref","unstructured":"9) Panteli\u0107 M, Stoji\u0107 MS, Petrovi\u0107 \u0110, et al. Necrotizing fasciitis after total abdominal hysterectomy: a case report. Medicine (Baltimore) 2023; 102: e34451.","DOI":"10.1097\/MD.0000000000034451"},{"key":"10","doi-asserted-by":"crossref","unstructured":"10) Sumi Y. Descending necrotizing mediastinitis: 5 years of published data in Japan. Acute Med Surg 2014; 2: 1\u201312.","DOI":"10.1002\/ams2.56"},{"key":"11","doi-asserted-by":"crossref","unstructured":"11) Dajer-Fadel WL, Pichardo-Gonz\u00e1lez M, Estrada-Ramos S, et al. Ascending necrotizing mediastinitis secondary to emphysematous pyelonephritis. Asian Cardiovasc Thorac Ann 2014; 22: 869\u201371.","DOI":"10.1177\/0218492313495860"},{"key":"12","doi-asserted-by":"crossref","unstructured":"12) S\u00e1nchez-Mat\u00e1s C, Aldab\u00f3-Pallas T, Palacios-Garc\u00eda I, et al. Ascending necrotizing mediastinitis: an exceptional case. Arch Bronconeumol 2021; 57: 780\u20132.","DOI":"10.1016\/j.arbr.2021.10.007"},{"key":"13","doi-asserted-by":"crossref","unstructured":"13) Chang YC, Chen CW. Thoracoscopic drainage of ascending mediastinitis arising from pancreatic pseudocyst. Interact Cardiovasc Thorac Surg 2009; 9: 144\u20135.","DOI":"10.1510\/icvts.2009.202226"},{"key":"14","doi-asserted-by":"crossref","unstructured":"14) Chong BK, Yun JK, Kim JB, et al. Multiple ascending aortic mural thrombi and acute necrotizing mediastinitis secondary to acute pancreatitis. Korean J Thorac Cardiovasc Surg 2016; 49: 401\u20134.","DOI":"10.5090\/kjtcs.2016.49.5.401"},{"key":"15","doi-asserted-by":"crossref","unstructured":"15) Watanabe M, Ohshika Y, Aoki T, et al. Empyema and mediastinitis complicating retropharyngeal abscess. Thorax 1994; 49: 1179\u201380.","DOI":"10.1136\/thx.49.11.1179"},{"key":"16","doi-asserted-by":"crossref","unstructured":"16) Davoodabadi A, Entezari H, Talari H, et al. Acute purulent mediastinitis with sequential bilateral pleural empyema caused by neck trauma: a unique occurrence, a case report. Int J Surg Case Rep 2019; 65: 171\u20135.","DOI":"10.1016\/j.ijscr.2019.10.065"},{"key":"17","doi-asserted-by":"crossref","unstructured":"17) Dalbem CS, Nunes TF, Machado MS, et al. Pneumomediastinum and pneumoretroperitoneum: an extremely rare presentation of acute appendicitis. BMJ Case Rep 2015; 2015: bcr2014207255.","DOI":"10.1136\/bcr-2014-207255"},{"key":"18","doi-asserted-by":"crossref","unstructured":"18) Anaya DA, Dellinger EP. Necrotizing soft-tissue infection: diagnosis and management. Clin Infect Dis 2007; 44: 705\u201310.","DOI":"10.1086\/511638"},{"key":"19","doi-asserted-by":"crossref","unstructured":"19) Salati SA. Necrotizing fasciitis: a review. Pol Przegl Chir 2022; 95: 1\u20138.","DOI":"10.5604\/01.3001.0015.7676"},{"key":"20","doi-asserted-by":"crossref","unstructured":"20) Lauerman MH, Kolesnik O, Sethuraman K, et al. Less is more? Antibiotic duration and outcomes in Fournier\u2019s gangrene. J Trauma Acute Care Surg 2017; 83: 443\u20138.","DOI":"10.1097\/TA.0000000000001562"},{"key":"21","doi-asserted-by":"crossref","unstructured":"21) Wong CH, Khin LW, Heng KS, et al. The LRINEC (Laboratory Risk Indicator for Necrotizing Fasciitis) score: a tool for distinguishing necrotizing fasciitis from other soft tissue infections. Crit Care Med 2004; 32: 1535\u201341.","DOI":"10.1097\/01.CCM.0000129486.35458.7D"},{"key":"22","doi-asserted-by":"crossref","unstructured":"22) Sun X, Xie T. Management of necrotizing fasciitis and its surgical aspects. Int J Low Extrem Wounds 2015; 14: 328\u201334.","DOI":"10.1177\/1534734615606522"}],"container-title":["Surgical Case Reports"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/www.jstage.jst.go.jp\/article\/scrj\/12\/1\/12_cr.25-0714\/_pdf","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,2,28]],"date-time":"2026-02-28T03:29:40Z","timestamp":1772249380000},"score":1,"resource":{"primary":{"URL":"https:\/\/www.jstage.jst.go.jp\/article\/scrj\/12\/1\/12_cr.25-0714\/_article"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2026]]},"references-count":22,"journal-issue":{"issue":"1","published-print":{"date-parts":[[2026]]}},"URL":"https:\/\/doi.org\/10.70352\/scrj.cr.25-0714","relation":{},"ISSN":["2198-7793"],"issn-type":[{"value":"2198-7793","type":"electronic"}],"subject":[],"published":{"date-parts":[[2026]]},"article-number":"cr.25-0714"}}