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Case Reports
. 2024 Oct 2:57:102860.
doi: 10.1016/j.eucr.2024.102860. eCollection 2024 Nov.

Closure of the initial surgical wound resulting in successful treatment of a pediatric case of Fournier's gangrene: A case report

Kohei Mori  1 , Yutaka Shiono  1 , Soichiro Shimura  1 , Shuhei Hirano  1 , Dai Koguchi  1 , Masaomi Ikeda  1 , Hideyasu Tsumura  1 , Daisuke Ishii  1 , Kazumasa Matsumoto  1
Affiliations
Case Reports

Closure of the initial surgical wound resulting in successful treatment of a pediatric case of Fournier's gangrene: A case report

Kohei Mori et al. Urol Case Rep. .

Abstract

Fournier's gangrene is a severe type of necrotizing fasciitis that affects the perineal and genital regions. Because of its rapid progression, Fournier's gangrene is associated with high mortality and morbidity rates. Surgical treatment of Fournier's gangrene requires leaving the wound open and performing multiple debridement procedures. We report a case of Fournier's gangrene caused by Streptococcus anginosus in a 9-year-old boy with severe autism. Because of the patient's condition, surgical treatment included thorough debridement and closure of the initial wound under general anesthesia. This case was successfully treated and the patient was discharged without infection recurrence.

Keywords: Fournier's gangrene; Pediatric case.

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Conflict of interest statement

The authors have no conflicts of interest relevant to this article to disclose.

Figures

Fig. 1
Fig. 1
Erythema and swelling in the examination of the scrotum (A) The scrotum at the first visit. (B) The scrotum after the 5 days from the first visit. Erythema and swelling were worse mainly in the right scrotum.
Fig. 2
Fig. 2
US examination of the scrotum (A) The transverse image. The low echoic lesion was observed on ventral side of urethra (∗). (B) The sagittal image. The low echoic lesion was observed on ventral side of urethra (∗).
Fig. 3
Fig. 3
Intraoperative and postoperative wound picture. (A) Extensive scrotal subcutaneous debridement and skin excision. (B) Primary closure of the wound with drainage tube. (C) Surgical wound appearance 60 days post-operation.
See this image and copyright information in PMC

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