Successful treatment following early recognition of a case of Fournier’s scrotal gangrene after a perianal abscess debridement: a case report
Abstract Background Fournier’s gangrene is an acute surgical emergency characterized by high mortality rates ranging from approximately 13% to 45%. Therefore, aggressive multidisciplinary management is necessary. Case presentation A 29-year-old Asian man who had undergone surgical debridement at ano...
| Main Authors: | , , , |
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| Format: | Article |
| Language: | English |
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BMC
2018-06-01
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| Series: | Journal of Medical Case Reports |
| Subjects: | |
| Online Access: | http://link.springer.com/article/10.1186/s13256-018-1697-9 |
| _version_ | 1811215105507983360 |
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| author | Youwen Chen Xueke Wang Guoren Lin Rukai Xiao |
| author_facet | Youwen Chen Xueke Wang Guoren Lin Rukai Xiao |
| author_sort | Youwen Chen |
| collection | DOAJ |
| description | Abstract Background Fournier’s gangrene is an acute surgical emergency characterized by high mortality rates ranging from approximately 13% to 45%. Therefore, aggressive multidisciplinary management is necessary. Case presentation A 29-year-old Asian man who had undergone surgical debridement at another hospital to treat a perianal abscess 5 days earlier was admitted to our hospital for severe scrotal and perianal pain, swelling, and high fever. A physical examination revealed a perianal abscess. Furthermore, the scrotum was gangrenous and exhibited extensive cellulitis in the perineum and bilateral inguinal area. Crepitations between the skin and fascia were palpable. A diagnosis of Fournier’s gangrene was made. The patient was treated with immediate surgical debridement under general anesthesia. He received broad-spectrum antibiotics, and debridement was repeated until the wound exhibited healthy granulation. Because both testes were severely exposed, they were transpositioned back into the scrotum 1 week after surgery. The patient was discharged on the 11th postoperative day. Conclusions The mainstay of treatment for Fournier’s gangrene should include fluid resuscitation, broad-spectrum antibiotic therapy, intensive care, nutritional support, and early aggressive surgical debridement of all necrotic tissue. |
| first_indexed | 2024-04-12T06:15:46Z |
| format | Article |
| id | doaj.art-2615cbf2eb4f4be4b31d954c35f41311 |
| institution | Directory Open Access Journal |
| issn | 1752-1947 |
| language | English |
| last_indexed | 2024-04-12T06:15:46Z |
| publishDate | 2018-06-01 |
| publisher | BMC |
| record_format | Article |
| series | Journal of Medical Case Reports |
| spelling | doaj.art-2615cbf2eb4f4be4b31d954c35f413112022-12-22T03:44:28ZengBMCJournal of Medical Case Reports1752-19472018-06-011211510.1186/s13256-018-1697-9Successful treatment following early recognition of a case of Fournier’s scrotal gangrene after a perianal abscess debridement: a case reportYouwen Chen0Xueke Wang1Guoren Lin2Rukai Xiao3Department of Urological Surgery, Chang Gung Memorial HospitalDepartment of Urological Surgery, Chang Gung Memorial HospitalDepartment of Urological Surgery, Chang Gung Memorial HospitalDepartment of Urological Surgery, Chang Gung Memorial HospitalAbstract Background Fournier’s gangrene is an acute surgical emergency characterized by high mortality rates ranging from approximately 13% to 45%. Therefore, aggressive multidisciplinary management is necessary. Case presentation A 29-year-old Asian man who had undergone surgical debridement at another hospital to treat a perianal abscess 5 days earlier was admitted to our hospital for severe scrotal and perianal pain, swelling, and high fever. A physical examination revealed a perianal abscess. Furthermore, the scrotum was gangrenous and exhibited extensive cellulitis in the perineum and bilateral inguinal area. Crepitations between the skin and fascia were palpable. A diagnosis of Fournier’s gangrene was made. The patient was treated with immediate surgical debridement under general anesthesia. He received broad-spectrum antibiotics, and debridement was repeated until the wound exhibited healthy granulation. Because both testes were severely exposed, they were transpositioned back into the scrotum 1 week after surgery. The patient was discharged on the 11th postoperative day. Conclusions The mainstay of treatment for Fournier’s gangrene should include fluid resuscitation, broad-spectrum antibiotic therapy, intensive care, nutritional support, and early aggressive surgical debridement of all necrotic tissue.http://link.springer.com/article/10.1186/s13256-018-1697-9Fournier’s gangrenePerianal abscess debridementNecrotizing fasciitisStreptococcus agalactiae |
| spellingShingle | Youwen Chen Xueke Wang Guoren Lin Rukai Xiao Successful treatment following early recognition of a case of Fournier’s scrotal gangrene after a perianal abscess debridement: a case report Journal of Medical Case Reports Fournier’s gangrene Perianal abscess debridement Necrotizing fasciitis Streptococcus agalactiae |
| title | Successful treatment following early recognition of a case of Fournier’s scrotal gangrene after a perianal abscess debridement: a case report |
| title_full | Successful treatment following early recognition of a case of Fournier’s scrotal gangrene after a perianal abscess debridement: a case report |
| title_fullStr | Successful treatment following early recognition of a case of Fournier’s scrotal gangrene after a perianal abscess debridement: a case report |
| title_full_unstemmed | Successful treatment following early recognition of a case of Fournier’s scrotal gangrene after a perianal abscess debridement: a case report |
| title_short | Successful treatment following early recognition of a case of Fournier’s scrotal gangrene after a perianal abscess debridement: a case report |
| title_sort | successful treatment following early recognition of a case of fournier s scrotal gangrene after a perianal abscess debridement a case report |
| topic | Fournier’s gangrene Perianal abscess debridement Necrotizing fasciitis Streptococcus agalactiae |
| url | http://link.springer.com/article/10.1186/s13256-018-1697-9 |
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