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Case Reports
. 2025 Jan 15:59:102950.
doi: 10.1016/j.eucr.2025.102950. eCollection 2025 Mar.

Fournier's gangrene after male circumcision: A case report

Isobel A Bowring  1   2 , Lotte Bouwman  1   2 , Kim van Putten  3 , Joris J Blok  1   2
Affiliations
Case Reports

Fournier's gangrene after male circumcision: A case report

Isobel A Bowring et al. Urol Case Rep. .

Abstract

Necrotizing soft tissue infection (NSTI) is a rare, life-threatening emergency. Fournier's gangrene (FG), a type of NSTI affecting the perineal, genital, or perianal region, requires prompt and aggressive treatment and has a multifactorial aetiology. However, cases of FG in patients without predisposing factors, as a complication of an elective procedure, are seldom reported. In this report, a 32-year-old patient without prior medical history presented with a NSTI after elective circumcision. Patient was successfully treated with multiple surgical debridement's, antibiotic therapy and hemodynamic support. Healthcare providers must remain vigilant, as FG has significant morbidity and mortality and early intervention is crucial.

Keywords: Case report; Circumcision; Fournier's gangrene; Necrotizing soft tissue infection.

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Conflict of interest statement

The author's declare no competing interests.

Figures

Fig. 1A
Fig. 1A
Clinical status at presentation to the emergency department two days after the initial circumcision, prior to surgical debridement.
Fig. 1B
Fig. 1B
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Fig. 2A
Fig. 2A
During the first operation, 5 h after initial presentation at the emergency department, the patient underwent surgical debridement in the operating room, necrotic ventral skin of the penis and part of the scrotum were removed.
Fig. 2B
Fig. 2B
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Fig. 3A
Fig. 3A
During early recovery: a negative pressure therapy device was placed on the prepubic wound after a second surgical debridement in the operating room (8 h after initial debridement).
Fig. 3B
Fig. 3B
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Fig. 4A
Fig. 4A
Late recovery of Fournier's gangrene after placement of a split-thickness skin graft.
Fig. 4B
Fig. 4B
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See this image and copyright information in PMC

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