Necrotising fasciitis due to streptococcus pyogenes.

Abstract

Case 4-A 56-year-old man with alcoholic cirrhosis of the liver had an oesophageal transection with the EEA staple gun for oesophageal varices.A day later a radiograph showed a complete staple ring and a barium swallow confirmed no oesophageal leakage.Further radiographs showed an enlarging break in the staple ring.He was discharged on the 14th day but was readmitted three days later with further bleeding, which was due to a varix