Fournier’s Gangrene in a Female Diabetic Patient: A Case Report

Introduction: Fournier’s gangrene is a rare but fast deteriorating and serious condition with high mortality. In most cases, it is characterized as necrotizing fasciitis of the perineum and external genitals. Amyand’s hernia is a rare condition where the appendix is contained in the sac of an inguinal hernia. Inflammatory alterations in the appendix account only for 0.1 % of the cases when Amyand’s hernia is verified. Fournier’s gangrene as a complication of a late diagnosis of appendicitis located in the inguinal canal is described in the literature as rare case reports. Case report: The case report of a 70-year-old patient with Fournier’s gangrene resulting from gangrenous appendicitis of Amyand’s hernia. Conclusion: Fournier’s gangrene as a complication of Amyand’s hernia is a rare condition. Only sporadic case reports thereof can be found in the literature. Because of the rarity of this pathology and the lack of randomized controlled studies, it is difficult to determine the optimal treatment according to the principles of evidence-based medicine. An appropriate approach for this condition appears to be the combination of guidelines developed in Amyand’s therapy according to Losanoff and Basson, along with the recommended “gold standard” therapy for Fournier’s gangrene. This means early and highly radical surgical debridement, adequate antibiotic therapy and intensive care.

Download Full-text

Fournier’s gangrene secondary to male’s circumcision – a case report and review of the literature

Acta Chirurgiae Plasticae ◽

10.48095/ccachp202196 ◽

2021 ◽

Vol 63 (3) ◽

Author(s):

Massimiliano Tripoli ◽

Emanuele Cammarata ◽

Adriana Cordova

Keyword(s):

Case Report ◽

Fournier’S Gangrene ◽

Review Of The Literature ◽

Fournier's Gangrene

Download Full-text

Fournier's Gangrene of Genitalia: Case Report

Urologia Journal ◽

10.1177/039156030307001-408 ◽

2003 ◽

Vol 70 (1-4) ◽

pp. 38-40

Author(s):

P. Salciccia ◽

G. Poveromo ◽

S. Salciccia

Keyword(s):

Septic Shock ◽

Case Report ◽

Early Diagnosis ◽

Rare Disease ◽

Abdominal Wall ◽

Sudden Onset ◽

Fournier’S Gangrene ◽

Fournier's Gangrene ◽

Prodromal Symptoms

Fournier's gsngrene is a rare disease involving the scrotum and the penis with occasional extension up to the abdominal wall. The etiology of the disease, commonly without prodromal symptoms and with sudden onset, is still not fully understood. The organisms are usually streptococcus haemoliticus and/or anerobic bacteria. We report a case of Fournier's gangrene, presenting septic shock. The patient was treated with reanimatory care, antibiotics, local excision and debridment. Speaking about anatomical and etiopathogenetic hypotheses, we discuss the diagnostic problems and the treatment of the disease. We emphasize the role of the early diagnosis.

Download Full-text