Abstract
A 34-year-old man with complaining of high fever and painful swelling and edema of the scrotum was admitted to our hospital. As per clinical and radiological findings, he diagnosed as a case of Fournier’s gangrene. We started treatment with antibiotics, and extensive soft tissue debridement of scrotum done. After the debridement, infection was controlled by wound irrigation, higher antibiotic, regular dressing. Patient improved drastically and mature granulation covered both the testes completely within 14 days. After all this treatment, the neoscrotum was made successfully by mobilizing bilateral fascio-cutaneous flaps from adjacent supero-medial sites of the thighs. The patient was discharged on 26th day and patient is doing well in follow up.
Keywords: Fournier’s gangrene, Radical debridement, Neoscrotum, Necrotizing fasciitis cancer
Full Text
The Full Text of this article is available as a PDF (137.6 KB).
References
- 1.Patankar S., Lalwani S. Fournier’s gangrene. J Indian Paediatr. 2004;41:511. [PubMed] [Google Scholar]
- 2.Kumar P., Clarke M. Clinical Medicine. 5th ed. Edinburgh: WB Saunders; 2002. pp. 66–67. [Google Scholar]
- 3.McLatchie G, Leaper D (2003) Oxford Handbook of Clinical Surgery Oxford UK 53–890
- 4.Pawlowski W., Wronski M., Krasnodebski I. Fournier’s gangrene. Po Merkuriusz Lk. 2004;17:85–87. [PubMed] [Google Scholar]
- 5.Yeniyol C., Suelozogen T., Arslan M., Ayder R. Fournier’s gangrene: Experience with 25 patients and the use of Fournier’s gangrene severity index score. Urology. 2004;64(2):218–222. doi: 10.1016/j.urology.2004.03.049. [DOI] [PubMed] [Google Scholar]
- 6.Muqim R. Necrotising fasciitis: management and outcome. J Coll Physicians Surg Pak. 2003;13(12):711–714. [PubMed] [Google Scholar]
- 7.Henry M, Thompsen J (2002) Clinical Surgery Edinburgh WB Saunders 113,126
- 8.Cameron J (2004) Current Surgical Therapy Philadelphia. Elsevier Mosby 1079–1085
- 9.Upport R., Levy H., Patel P. Case 54: Fournier’s Gangrene Radiology. 2003;226:115–117. doi: 10.1148/radiol.2261010714. [DOI] [PubMed] [Google Scholar]
- 10.Black P., Friedrich J., Engrav L., Wessells H. Meshed unexpanded split-thickness skin grafting for reconstruction of penile skin loss. J Urol. 2004;172(3):976–979. doi: 10.1097/01.ju.0000133972.65501.44. [DOI] [PubMed] [Google Scholar]