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Case Reports
. 2024 Feb 20;7(3):217-220.
doi: 10.1002/iju5.12706. eCollection 2024 May.

A case of successful treatment of Fournier's gangrene through conservative management and elective debridement

Toshifumi Takahashi  1 , Kouhei Maruno  1 , Tatsuya Hazama  1 , Yuya Yamada  1 , Masakazu Nakashima  1 , Kazuro Kikkawa  1 , Masahiro Tamaki  1 , Noriyuki Ito  1
Affiliations
Case Reports

A case of successful treatment of Fournier's gangrene through conservative management and elective debridement

Toshifumi Takahashi et al. IJU Case Rep. .

Abstract

Introduction: Fournier's gangrene refers to a necrotizing fasciitis that mainly affects the perineal region and a condition that requires immediate debridement. This case involved elective debridement of Fournier's gangrene after the general condition was improved through antibiotic treatment instead of requesting an emergency debridement.

Case presentation: The patient was an 85-year-old man with a performance status of 4 admitted to a nursing home. He was transferred by ambulance with a fever. Blood tests showed a markedly elevated inflammatory response, and computed tomography revealed widespread aerodermectasia around the right testis to the lower abdomen. The patient was diagnosed with Fournier's gangrene. However, his family declined emergency surgical debridement. The patient's general condition was improved with antibiotics, and debridement was eventually performed. After 52 days of hospitalization, the patient was transferred to another hospital.

Conclusion: This study describes the successful treatment of Fournier's gangrene through conservative treatment followed by elective debridement.

Keywords: Fournier's gangrene; Necrotizing fasciitis; elective debridement.

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Conflict of interest statement

The authors declare no conflict of interest.

Figures

Fig. 1
Fig. 1
(a) Swelling of the scrotum and partial change of the scrotal skin to black. (b) Swelling of the scrotum and wet skin, but no obvious destruction.
Fig. 2
Fig. 2
(a) Aerodermectasia around the right testis. (b) Wide spread aerodermectasia around the lower abdomen.
Fig. 3
Fig. 3
The clinical course after hospitalization.
Fig. 4
Fig. 4
The scrotum had destructed and the right testis was exposed.
See this image and copyright information in PMC

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