A 19-year-old man developed necrotizing fasciitis following operation for perforated appendix. After surviving a stormy ICU course, the bowel was left covered only by split thickness skin graft. The patient needed an abdominal binder to contain the viscera when upright.
Fourteen months following discharge, the patient had two tissue expanders placed above the iliac crest bilaterally in preparation for abdominal wall closure. At the time of placement, it was determined that there was intact rectus muscle, more on the right than on the left, and that the recti had retracted laterally to the margins of the defect.
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