Bipedicled deep inferior epigastric perforator flap reconstruction in necrotising fasciitis following implantable contraceptive device insertion

Necrotising Fasciitis (NF) is a severe infection leading to the destruction of muscle fascial compartments and overlying soft tissue.These infections arise following the direct disruption to one's skin integrity, with large proportion of these infections due to group A streptoccous (GAS).These infections often lead to extensive tissue defects rendering reconstruction challenging.This report looks at the first recorded case of necrotising fasciitis following insertion of an implantable contraceptive device.In this case of GAS NF, reconstruction with a bipedicled deep inferior epigastric perforator flap was performed to achieve coverage of a large soft tissue defect of the left upper limb.This method of reconstruction allowed for complete coverage of the wound, despite its extensive size, all while providing good function of the limb and an aesthetically pleasing result.