Skip to main page content
U.S. flag

An official website of the United States government

Dot gov

The .gov means it’s official.
Federal government websites often end in .gov or .mil. Before sharing sensitive information, make sure you’re on a federal government site.

Https

The site is secure.
The https:// ensures that you are connecting to the official website and that any information you provide is encrypted and transmitted securely.

Access keys NCBI Homepage MyNCBI Homepage Main Content Main Navigation
Case Reports
. 2019 Jun 9:26:100943.
doi: 10.1016/j.eucr.2019.100943. eCollection 2019 Sep.

Extensive necrotizing fasciitis from Fournier's gangrene

Abdulaziz Joury  1 , Arjun Mahendra  1 , Mona Alshehri  1 , Asia Downing  1
Affiliations
Case Reports

Extensive necrotizing fasciitis from Fournier's gangrene

Abdulaziz Joury et al. Urol Case Rep. .

Abstract

Fournier's gangrene is rapidly progressive necrotizing fasciitis that mainly affects the male perineum. Despite the advancement in surgical intervention, Fournier's gangrene carries high rates of mortality. Here, we present a 51-year-old male with hypertension and history of alcohol abuse presented to the emergency department with scrotal pain and swelling for a one-week period without preceding trauma to perineal area. He underwent emergent surgical debridement for and extensive necrotizing fasciitis. Early initiation of antibiotics, surgical intervention and good wound care postoperatively were cornerstone in his recovery.

Keywords: Fournier's gangrene; Male urogenital diseases; Necrotizing fascitis.

PubMed Disclaimer

Figures

Fig. 1
Fig. 1
Necrotic appearing perineal tissues involving scrotum, penile shaft and perianal area.
Fig. 2
Fig. 2
Intraoperative picture after extensive wound detriment of Fournier's gangrene.
Fig. 3
Fig. 3
Post-operative day 3 picture showing the early stage of granulation tissue formation in anterior lower abdomen, penile shaft and around scrotum.
Fig. 4
Fig. 4
Computed tomography of the abdomen and pelvis that showed no signs of fluid collections, or abscess.
See this image and copyright information in PMC

References

    1. Fournier's gangrene Eke N. A review of 1726 cases. Br J Surg. 2000;87(6):718–728. - PubMed
    1. Wong C.H., Chang H.C., Pasupathy S., Khin L.W., Tan J.L., Low C.O. Necrotizing fasciitis: clinical presentation, microbiology, and determinants of mortality. J Bone Joint Surg Am. 2003;85-A(8):1454–1460. - PubMed
    1. Kincius M., Telksnys T., Trumbeckas D., Jievaltas M., Milonas D. Evaluation of LRINEC scale feasibility for predicting outcomes of fournier gangrene. Surg Infect. 2016 Aug;17(4):448–453. - PubMed
    1. Rosen D.R., Brown M.E., Cologne K.G., Ault G.T., Strumwasser A.M. Long-term follow-up of Fournier's Gangrene in a tertiary care center. J Surg Res. 2016 Nov;206(1):175–181. - PubMed
    1. El-Sabbagh A.H. Coverage of the scrotum after Fournier's gangrene. GMS Interdiscip Plast Reconstr Surg DGPW. 2018 Jan 15;7:Doc01. - PMC - PubMed

Publication types

LinkOut - more resources