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Case Reports
. 2013;66(3):336-40.
doi: 10.5173/ceju.2013.03.art24. Epub 2013 Nov 18.

Gangrene of the penis, scrotum, and perineum, occurred after radiotherapy of rectal cancer

Marcin Zyczkowski  1 , Rafał Bogacki  1 , Piotr Bryniarski  1 , Krzysztof Nowakowski  1 , Bartosz Muskała  1 , Andrzej Paradysz  1
Affiliations
Case Reports

Gangrene of the penis, scrotum, and perineum, occurred after radiotherapy of rectal cancer

Marcin Zyczkowski et al. Cent European J Urol. 2013.

Abstract

We present a case of a 58-year-old man hospitalized because of gangrene of the penis and scrotum, after radiochemotherapy for rectal cancer. At the time of the admission the patient presented with extensive gangrene with necrosis affecting the scrotum and the penis. During the first day of hospitalization the patient was operated. Due to the progress of the disease he had to be operated again. The status of the patient, which initially was very bad, was gradually improving. He was discharged from the hospital after 59 days in a good general state with good wound healing.

Keywords: gangrene; multidisciplinary approach; radiation; rectal cancer; surgical treatment.

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Figures

Figure 1
Figure 1
Condition after radical removal of perineum necrotic tissue, area around penis, anus and inflamed testes – second surgery.
Figure 2
Figure 2
Condition of the postoperative wound on the 30th day of hospitalization.
Figure 3
Figure 3
Condition of the postoperative wound on the 58th day of hospitalization.
Figure 4
Figure 4
Control in the outpatient urology clinic.
See this image and copyright information in PMC

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