scholarly journals Sliding inguinal hernia in a case of Fournier's gangrene: A rare case

2021 ◽  
Vol 11 (2) ◽  
pp. 106
Author(s):  
Vinaysheel Priyadarshi ◽  
Meghraj Kundan ◽  
Chintamani
Keyword(s):  
Inguinal Hernia ◽  
Rare Case ◽  
Fournier’S Gangrene ◽  
Fournier's Gangrene ◽  
Sliding Inguinal Hernia

scholarly journals A rare case of colonic perforation presenting as Fournier’s gangrene

2020 ◽  
Vol 7 (2) ◽  
pp. 569
Author(s):  
Haraesh Maranna ◽  
Pawan Lal ◽  
Lovenish Bains ◽  
Salil Yadav ◽  
Rahul Bhatia ◽  
...  
Keyword(s):  
Inguinal Hernia ◽  
Hernia Repair ◽  
Inguinal Hernia Repair ◽  
Rare Case ◽  
Inguinal Canal ◽  
Fournier’S Gangrene ◽  
Colonic Perforation ◽  
Fournier's Gangrene ◽  
Extensive Debridement ◽  
The Right

A 48-year-old obese gentleman with mild pain over abdomen for 10 days followed by pain and swelling in the right side of scrotum with skin discolouration for 2 days. Clinically necrotic patch with pus discharge was noted on the right side of scrotum. Extensive debridement over scrotum was done following which inflamed omentum and fecal contents were noticed from the inguinal canal. Patient underwent laparotomy and an ascending colonic perforation was found. A loop colostomy with partial omentectomy and inguinal hernia repair along with serial debridement of scrotal wound was done. Although uncommon, gastrointestinal perforations should be considered as a potential etiology in Fournier’s gangrene.

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
Keyword(s):  
Enterococcus Faecalis ◽  
Fluid Resuscitation ◽  
Rare Case ◽  
Short Review ◽  
Fournier’S Gangrene ◽  
Rare Clinical Entity ◽  
Review Of The Literature ◽  
Fournier's Gangrene ◽  
Surgical Exploration ◽  
Prevotella Melaninogenica

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.

scholarly journals Isolated Penile Fournier's Gangrene: A Rare Case

Cureus ◽  
2020 ◽  
Author(s):  
Orkun Batmaz ◽  
Murat Ucar ◽  
Ahmet E Caylan ◽  
İsmail B Gök ◽  
Veli Vural
Keyword(s):  
Rare Case ◽  
Fournier’S Gangrene ◽  
Fournier's Gangrene

scholarly journals Fournier’s Gangrene as a Postoperative Complication of Inguinal Hernia Repair

2014 ◽  
Vol 2014 ◽  
pp. 1-3 ◽  
Author(s):  
Tolga Dinc ◽  
Selami Ilgaz Kayilioglu ◽  
Isa Sozen ◽  
Baris Dogu Yildiz ◽  
Faruk Coskun
Keyword(s):  
Inguinal Hernia ◽  
Hernia Repair ◽  
Postoperative Complication ◽  
Inguinal Hernia Repair ◽  
Broad Spectrum ◽  
Recovery Period ◽  
Fournier’S Gangrene ◽  
Fournier's Gangrene ◽  
Broad Spectrum Antibiotics ◽  
Aggressive Debridement

Fournier’s gangrene is the necrotizing fasciitis of perianal, genitourinary, and perineal regions. Herein, we present a case of scrotal Fournier’s gangrene as a postoperative complication of inguinal hernia repair. A 51-year-old male with giant indirect hernia is presented. Patient underwent inguinal hernia repair, and after an unproblematic recovery period, he was discharged. He applied to our outpatient clinic on the fifth day with swollen and painful scrotum and it turned out to be Fournier’s gangrene. Polypropylene mesh was not infected. Patient recovered and was discharged after repeated debridements. Basic principles in treatment of Fournier’s gangrene are comprised of initial resuscitation, broad-spectrum antibiotics therapy, and early aggressive debridement. In the management of presented case, aggressive debridement was made right after diagnosis and broad-spectrum antibiotics were given to the hemodynamically stable patient. In these circumstances, the important question is whether we could prevent occurrence of Fournier’s gangrene.

A rare case of Fournier’s Gangrene following a hydrocele repair – should we be using antibiotic prophylaxis routinely in scrotal surgery?

2016 ◽  
Vol 10 (2) ◽  
pp. 142-144
Author(s):  
Mahua Sahu ◽  
Eleni Anastasiadis ◽  
Samer Katmawi-Sabbagh
Keyword(s):  
Antibiotic Prophylaxis ◽  
Rare Case ◽  
Fournier’S Gangrene ◽  
Fournier's Gangrene

scholarly journals A Rare Case of Fournier’s Gangrene caused by Helcococcus kunzii

2016 ◽  
Vol 6 (2) ◽  
pp. 43-46
Author(s):  
Mazen A. Badawi ◽  
Maha M. Al-Alawi
Keyword(s):  
Risk Factors ◽  
Escherichia Coli ◽  
Rare Case ◽  
Fournier’S Gangrene ◽  
Local Infection ◽  
Fournier's Gangrene ◽  
Skin Flora ◽  
Common Risk Factors ◽  
And Staphylococcus Aureus ◽  
Positive Coccus

Fournier’s gangrene is an acute rapidly progressing form of necrotizing fasciitis involving the genitalia and perianal regions. Trauma and local infection are the most common risk factors especially in the setting of diabetes. It is usually a polymicrobial infection caused by skin flora of the genital area. The most commonly isolated aerobic microorganism are Escherichia coli, Klebsiella pneumoniae, and Staphylococcus aureus, while Bacteroides fragilis is a common culprit from the anaerobic group. We report a patient with Fournier’s gangrene caused by Helcococcus kunzii; anaerobic gram-positive coccus not known to be associated with Fournier’s gangrene before.

scholarly journals Fournier’s gangrene following an ant bite in a healthy man: A very rare case report

2020 ◽  
Vol 6 (2) ◽  
pp. 115-117
Author(s):  
Abbas Edalatkhah ◽  
Mohammad Ali Jafari ◽  
Sima Valizadeh ◽  
Alireza Esmaeili ◽  
Ehsan Zarepur
Keyword(s):  
Case Report ◽  
Physical Examination ◽  
Antibiotic Therapy ◽  
Rare Case ◽  
Saline Solution ◽  
Fournier’S Gangrene ◽  
Fournier's Gangrene ◽  
Case Presentation ◽  
Rare Case Report ◽  
Extensive Necrosis

Objective: Necrotizing fasciitis of the perinea, referred to as Fournier’s gangrene, is a necrotizing infection of the perinea. To the best of our knowledge, there is no report on the Fournier’s gangrene following an ant bite and this is a rare case report of this type. Case Presentation: In this rare case report we describe a 20-year-old man who developed Fournier’s gangrene following an ant bite which resulted in his death. He sustained numerous ant bites in the perinea. Subsequently, he suffered from itching of the area and had scratched the area frequently leading to dermal ulcers and laceration, pain, and swelling of the scrotal area followed by fever and diminished consciousness. Finally, he presented to the emergency room (ER) after 72 hours of ant bites with a shock. Physical examination revealed extensive necrosis of scrotum. The primary treatments including antibiotic therapy, normal saline solution, and dopamine were not effective. Conclusion: Even a simple nonpoisonous insect bite can lead to Fournier’s gangrene and death. Paying greater attention to the site of bite, especially in the perinea which is anatomically more susceptible to infection, observing hygienic principles, and quick access to healthcare centers may prevent the patient’s death.

Incarcerated Inguinal Hernia in the Presence of Fournier's Gangrene: A Novel Approach to a Complex Problem

2007 ◽  
Vol 73 (1) ◽  
pp. 93-95 ◽  
Author(s):  
James L. Guzzo ◽  
Grant V. Bochicchio ◽  
Sharon Henry ◽  
Elena Keller ◽  
Thomas M. Scalea
Keyword(s):  
Inguinal Hernia ◽  
Soft Tissue ◽  
Soft Tissue Infection ◽  
Laparoscopic Approach ◽  
Fournier’S Gangrene ◽  
Tissue Infection ◽  
General Surgeon ◽  
Fournier's Gangrene ◽  
Incarcerated Inguinal Hernia ◽  
The Face

Fournier's gangrene is an aggressive, polymicrobial soft tissue infection that specifically affects the genital and perineal region. Treatment requires early recognition, broad-spectrum intravenous antibiotics, and radical surgical debridement of all infected tissues. Optimal therapy may necessitate multiple debridements that leave the patient with large tissue defects that require skin grafting for scrotal and perineal reconstruction. The presence of other surgical emergencies, such as an incarcerated inguinal hernia, in the face of Fournier's gangrene presents a rare and challenging dilemma to the general surgeon. With the widespread acceptance of tension-free repair utilizing prosthetic mesh in uncomplicated hernia surgery, outcomes have been improved. However, surgical options for hernia repair may become limited in the face of a regional necrotizing soft tissue infection, for which mesh use in an open repair after debridement of infected tissues is generally contraindicated. In this report, the authors describe three consecutive cases of incarcerated inguinal hernia in the presence of concomitant Fournier's gangrene using a laparoscopic approach and natural biomaterial mesh for abdominal wall reinforcement.

Sign in / Sign up

Export Citation Format

Share Document