Fournier gangrene: rare complication of rectal cancer

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Fournier gangrene: rare complication of rectal cancer

Fournier's Gangrene is a rare complication of rectal cancer. Its discovery is often delayed. It's incidence is about 0.3/100,000 populations in Western countries. We report a patient with peritoneal perforation of rectal cancer revealed by scrotal and perineal necrotizing fasciitis.

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Fournier Gangrene

A 51-year-old male with hepatitis C and a history of intravenous (IV) drug use presented to the emergency department, reporting one day of worsening scrotal pain and swelling. He denied diabetes, trauma, or infection with HIV. His genitourinary examination revealed a draining lesion in his left inguinal region with surrounding induration and cellulitis extending onto his perineum. His scrotum w...

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Fournier gangrene

Fournier gangrene is a rapidly progressive necrotizing infection of the perineal and genital fascia, often polymicrobial. Severity is increased in older patients, diabetics and the immunocompromised. As in this case, the disease can have an indolent onset. Early recognition and aggressive treatment is important.

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4 Fournier ’ s Gangrene

Fournier’s gangrene (FG) is an acute, rapidly progressive and potentially fatal, infective necrotizing fasciitis affecting the external genitalia, perineal or perianal regions1. The definition of FG changed more often than the treatment over the years. Professor JeanAlfred Fournier (1832-1914), first defined FG as an ‘acute idiopathic gangrene of the scrotum in the young male2. The frequent iso...

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Fournier Gangrene in a patient receiving chemo–radiation for rectal cancer

We herein present a case of a 24-year-old patient with a cT4N+ rectal cancer who developed Fournier's gangrene (FG) 1 week after the completion of preoperative chemoradiotherapy. The patient was promptly referred to the surgical department where she was treated with antibiotics and repeated surgical debridement. FG is a rare and life-threatening situation that needs to be managed aggressively w...

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ژورنال

عنوان ژورنال: Pan African Medical Journal

سال: 2015

ISSN: 1937-8688

DOI: 10.11604/pamj.2015.20.288.5506