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Case Reports
. 2024 Mar 29:54:102721.
doi: 10.1016/j.eucr.2024.102721. eCollection 2024 May.

A rare case of Fournier's gangrene developing from colon perforation in an infant: A case report

Fiki Setiawan  1 , Jupiter Sibarani  1
Affiliations
Case Reports

A rare case of Fournier's gangrene developing from colon perforation in an infant: A case report

Fiki Setiawan et al. Urol Case Rep. .

Abstract

Fournier's gangrene, a rare and life-threatening soft tissue infection affecting the genitalia and perineum, results from various microorganisms. This rapidly progressing necrotizing fasciitis yields higher mortality and morbidity rates. We report a case of a 1-month-old male infant with Fournier's gangrene due to perforation transverse colon complicated with septic shock and pneumonia also accompanied by patent processus vaginalis. Radiological findings of pneumonia and pneumoperitoneum were exhibited. Early diagnosis and management are demanded to mitigate life-threatening and improve the prognosis. The patient underwent incision drainage, peritoneal lavage, exploratory laparotomy, colostomy, necrotomy debridement, and patent processus vaginalis ligation after hemodynamic status stabilization.

Keywords: Fournier's gangrene; Infection of perineum and genitalia; Necrotizing fasciitis.

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Conflict of interest statement

None.

Figures

Fig. 1
Fig. 1
The patients clinically displayed inflammation in the umbilical and scrotal region.
Fig. 2
Fig. 2
Rontgen abdomen showed pneumoperitoneum.
Fig. 3
Fig. 3
(A) Perforation at transverse colon around 8 cm, (B, C, D, E) Intraoperative finding during necrotomy debridement.
See this image and copyright information in PMC

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