scholarly journals A Rare Case of Localised Isolated Penile Fournier’s Gangrene and a Short Review of the Literature

2018 ◽  
Vol 2018 ◽  
pp. 1-3 ◽  
Author(s):  
Antonios Katsimantas ◽  
Nikolaos Ferakis ◽  
Panagiotis Skandalakis ◽  
Dimitrios Filippou

Penile Fournier’s gangrene (FG) is very rare clinical entity, which is also known as penile necrotizing fasciitis or wet gangrene of the penis. It is associated with increased morbidity and mortality and in the majority of the described cases it affects not only penis but also the adjacent organs and tissues (e.g., bladder, muscles, rectum, testis, and scrotum). We report a rare case of a previously healthy 68-year-old male, who presented with acute isolated penile Fournier’s gangrene. Pus culture was identified with pathogens Enterococcus faecalis, Streptococcus gordonii, and Prevotella melaninogenica. Prompt surgical exploration, fluid resuscitation, antibiotic treatment, and diligent postoperative care are the cornerstone in the successful treatment of this emergency with high mortality.

Cureus ◽  
2020 ◽  
Author(s):  
Orkun Batmaz ◽  
Murat Ucar ◽  
Ahmet E Caylan ◽  
İsmail B Gök ◽  
Veli Vural

2020 ◽  
Vol 81 (06) ◽  
pp. 565-570
Author(s):  
Alok Mohan Uppar ◽  
Shilpa Rao ◽  
Chandrajit Prasad ◽  
Arivazhagan Arimappamagan ◽  
Vani Santosh

AbstractGreater superficial petrosal nerve (GSPN) schwannoma is a rare clinical entity. It forms a small subset of the larger group of facial nerve schwannomas. A thorough literature search yielded only 27 such cases reported to date in the English literature. We present one such rare case of GSPN schwannoma and discuss the clinical spectrum and management along with a review of the literature. We demonstrate the surgical steps in an operative video.


2016 ◽  
Vol 07 (03) ◽  
pp. 443-446 ◽  
Author(s):  
Kapetanakis Stylianos ◽  
Giatroudakis Konstantinos ◽  
Pavlidis Pavlos ◽  
Fiska Aliki

ABSTRACTThe medial antebrachial cutaneous nerve (MACN) is a branch of the brachial plexus with a great variation within its branches. Knowledge of these variations is critical to neurologists, hand surgeons, plastic surgeons, and vascular surgeons. The aim of this study was to search for variations of the MACN and to discuss their clinical significance. For this study, six arm cadavers from three fresh cadavers were dissected and examined to find and study possible anatomical variations of the MACN. The authors report a rare case of a variation of the MACN, in which there are four brachial cutaneous branches, before the separation to anterior (volar) and posterior (ulnar) branch, that provide sensory innervation to the medial, inferior half of the arm, in the area that is commonly innervated from the medial brachial cutaneous nerve. To our knowledge, this is the first documented case of this nerve variation. This variation should be taken into serious consideration for the differential diagnosis of patients with complaints of hypoesthesia, pain, and paresthesia and for the surgical operations in the medial part of the arm.


2013 ◽  
Vol 25 (2) ◽  
pp. 189-192 ◽  
Author(s):  
Pietro Rubegni ◽  
Arianna Lamberti ◽  
Ylenia Natalini ◽  
Michele Fimiani

2014 ◽  
Vol 2014 ◽  
pp. 1-6 ◽  
Author(s):  
Pallavi K. Deshmukh ◽  
Kiran Deshmukh ◽  
Anand Mangalgi ◽  
Subhash Patil ◽  
Deepa Hugar ◽  
...  

Van der Woude syndrome (VWS) is a rare autosomal dominant condition with high penetrance and variable expression. Clinical manifestation of this autosomal dominant clefting syndrome includes bilateral midline lower lip pits, cleft lip, and cleft palate along with hypodontia. These congenital lip pits appear as a malformation in the vermilion border of the lip, with or without excretion. Discomfort caused by spontaneous or induced drainage of saliva/mucus when pressure is applied or during a meal as well as poor aesthetic match is one of the main complaints of patients with congenital lip fistula. The pits are treated by surgical resection. Dentists should be aware of the congenital lip pits as in Van der Woude syndrome because they have been reported to be associated with a variety of malformations or other congenital disorders. Here, the authors report a rare case of Van der Woude syndrome with short review of the literature.


Open Medicine ◽  
2018 ◽  
Vol 13 (1) ◽  
pp. 158-163 ◽  
Author(s):  
Ti-Yuan Yang ◽  
Tao-Yeuan Wang ◽  
Marcelo Chen ◽  
Fang-Ju Sun ◽  
Allen W. Chiu ◽  
...  

AbstractPenile calciphylaxis is a rare cause of penile gangrene that presents in patients with end-stage renal disease. The rates of comorbidity and mortality of penile calciphylaxis are extremely high. Unlike other penile gangrene, such as Fournier’s gangrene, the benefit of aggressive surgical therapy is controversial. Here we present a case of penile calciphylaxis in a 43-year-old man with end-stage renal disease on hemodialysis. He received total penectomy but died due to multisystem complications 2 weeks after surgery. We review the literature on the management options and outcomes in patients with penile calciphylaxis.


1996 ◽  
Vol 63 (1_suppl) ◽  
pp. 78-83
Author(s):  
G. Pelucelli ◽  
C. Terrone ◽  
S. Rocca Rossetti ◽  
M. Cannatà ◽  
G. Verna ◽  
...  

Fournier's gangrene is an uncommon disease. It is characterised by superficial cellulitis involving the external genitalia, with a quick necrotic evolution. The origin of infection is often unclear. Generally the disease has a good prognosis, without systemic toxicity or compromising the patient's life. Many cases of Fournier's gangrene with bad prognosis, sepsis, have been described, however, in literature. In these cases the infection propagates from the colorectum, the periurethral glands or the urethra. We believe that these cases must be described as urinous phlegmon which unlike Fournier's gangrene, is a deep cellulitis. The 5 cases that we report, confirm our opinion.


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