Successful Treatment of a Severe Case of Fournier's Gangrene Complicating a Perianal Abscess
A 67-year-old male patient with diabetes mellitus and nephritic syndrome under cortisone treatment was admitted to our hospital with fever and severe perianal pain. Upon physical examination, a perianal abscess was identified. Furthermore, the scrotum was gangrenous with extensive cellulitis of the...
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| Format: | Article |
| Language: | English |
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Wiley
2011-01-01
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| Series: | Case Reports in Medicine |
| Online Access: | http://dx.doi.org/10.1155/2011/702429 |
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| author | Ioannis Papaconstantinou Anneza I. Yiallourou Nicolaos Dafnios Irini Grapsa George Polymeneas Dionysios Voros |
| author_facet | Ioannis Papaconstantinou Anneza I. Yiallourou Nicolaos Dafnios Irini Grapsa George Polymeneas Dionysios Voros |
| author_sort | Ioannis Papaconstantinou |
| collection | DOAJ |
| description | A 67-year-old male patient with diabetes mellitus and nephritic syndrome under cortisone treatment was admitted to our hospital with fever and severe perianal pain. Upon physical examination, a perianal abscess was identified. Furthermore, the scrotum was gangrenous with extensive cellulitis of the perineum and left lower abdominal wall. Crepitations between the skin and fascia were palpable. A diagnosis of Fournier's gangrene was made. He was treated with immediate extensive surgical debridement under general anesthesia. The patient received broad-spectrum antibiotics, and repeated extensive debridements were performed until healthy granulation was present in the wound. Due to the fact that his left testicle was severely exposed, it was transpositioned into a subcutaneous pocket in the inner side of the left thigh. He was finally discharged on the 57th postoperative day. Fournier's gangrene is characterized by high mortality rates, ranging from 15% to 50% and is an acute surgical emergency. The mainstay of treatment should be open drainage and early aggressive surgical debridement of all necrotic tissue, followed by broad-spectrum antibiotics therapy. |
| format | Article |
| id | doaj-art-17fb4195b0e0477fb207bd10128ebc45 |
| institution | Kabale University |
| issn | 1687-9627 1687-9635 |
| language | English |
| publishDate | 2011-01-01 |
| publisher | Wiley |
| record_format | Article |
| series | Case Reports in Medicine |
| spelling | doaj-art-17fb4195b0e0477fb207bd10128ebc452025-08-20T03:54:21ZengWileyCase Reports in Medicine1687-96271687-96352011-01-01201110.1155/2011/702429702429Successful Treatment of a Severe Case of Fournier's Gangrene Complicating a Perianal AbscessIoannis Papaconstantinou0Anneza I. Yiallourou1Nicolaos Dafnios2Irini Grapsa3George Polymeneas4Dionysios Voros52nd Department of Surgery, Aretaieion Hospital, University of Athens, 11528 Athens, Greece2nd Department of Surgery, Aretaieion Hospital, University of Athens, 11528 Athens, Greece2nd Department of Surgery, Aretaieion Hospital, University of Athens, 11528 Athens, GreeceDepartment of Nephrology, Aretaieion Hospital, University of Athens, 11528 Athens, Greece2nd Department of Surgery, Aretaieion Hospital, University of Athens, 11528 Athens, Greece2nd Department of Surgery, Aretaieion Hospital, University of Athens, 11528 Athens, GreeceA 67-year-old male patient with diabetes mellitus and nephritic syndrome under cortisone treatment was admitted to our hospital with fever and severe perianal pain. Upon physical examination, a perianal abscess was identified. Furthermore, the scrotum was gangrenous with extensive cellulitis of the perineum and left lower abdominal wall. Crepitations between the skin and fascia were palpable. A diagnosis of Fournier's gangrene was made. He was treated with immediate extensive surgical debridement under general anesthesia. The patient received broad-spectrum antibiotics, and repeated extensive debridements were performed until healthy granulation was present in the wound. Due to the fact that his left testicle was severely exposed, it was transpositioned into a subcutaneous pocket in the inner side of the left thigh. He was finally discharged on the 57th postoperative day. Fournier's gangrene is characterized by high mortality rates, ranging from 15% to 50% and is an acute surgical emergency. The mainstay of treatment should be open drainage and early aggressive surgical debridement of all necrotic tissue, followed by broad-spectrum antibiotics therapy.http://dx.doi.org/10.1155/2011/702429 |
| spellingShingle | Ioannis Papaconstantinou Anneza I. Yiallourou Nicolaos Dafnios Irini Grapsa George Polymeneas Dionysios Voros Successful Treatment of a Severe Case of Fournier's Gangrene Complicating a Perianal Abscess Case Reports in Medicine |
| title | Successful Treatment of a Severe Case of Fournier's Gangrene Complicating a Perianal Abscess |
| title_full | Successful Treatment of a Severe Case of Fournier's Gangrene Complicating a Perianal Abscess |
| title_fullStr | Successful Treatment of a Severe Case of Fournier's Gangrene Complicating a Perianal Abscess |
| title_full_unstemmed | Successful Treatment of a Severe Case of Fournier's Gangrene Complicating a Perianal Abscess |
| title_short | Successful Treatment of a Severe Case of Fournier's Gangrene Complicating a Perianal Abscess |
| title_sort | successful treatment of a severe case of fournier s gangrene complicating a perianal abscess |
| url | http://dx.doi.org/10.1155/2011/702429 |
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