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Case Reports
. 2016 May 5;2016(5):rjw069.
doi: 10.1093/jscr/rjw069.

A rare case of Fournier's Gangrene

Sally-Ann Sheehy  1 , Michael E Kelly  2 , Eamon C Francis  3 , Karl J Sweeney  2 , Alan Hussey  3
Affiliations
Case Reports

A rare case of Fournier's Gangrene

Sally-Ann Sheehy et al. J Surg Case Rep. .

Abstract

We report a rare case that highlights acute pancreatitis as the protagonist of Fournier's Gangrene. This patient was treated with a radical debridement of his perineum at presentation and subsequently reconstructed with split thickness skin grafting. This is an unusual aetiology of necrotizing fasciitis with only one other case reported in the literature. This serves to emphasize to physicians that acute pancreatitis is a potential source when investigating and treating patients with Fournier's Gangrene.

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Figures

Figure 1:
Figure 1:
Post-extensive debridement of the anterior abdominal wall, scrotum and penile skin with a large Penrose drain placed retroperitoneally on the left side.
Figure 2:
Figure 2:
Coronal section of computed tomography scan showing acute-on-chronic pancreatitis (calcifications visible) with surgical emphysema in lower left abdominal wall planes.
Figure 3:
Figure 3:
Post-multiple VAC dressing changes, just prior to split-skin grafting (testes in medial thigh pouches).
Figure 4:
Figure 4:
Day-7 post split-skin grafting with 100% uptake and excellent healing of donor site (left thigh).
See this image and copyright information in PMC

References

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