Scrotal reconstruction with pedicled gracilis muscle flap following Fournier’s gangrene: a case report and literature review

Abstract Background Fournier’s gangrene is an acute soft tissue necrotizing infection involving the perineum and external genitalia which can result in a major loss of scrotal wall with exposure testicles. Reconstruction such defect quite challenging; use pedicled gracilis muscle flap helps to create aesthetically acceptable scrotum minimal donor site morbidity. Case presentation We described case 60-year-old man large from following bladder outlet obstruction perineal abscess. He had multiple debridement reconstruction left good aesthetic functional post-operative outcome. The challenge encountered was skin graft as retraction due too early ambulation; this thus be avoided by adequate pre-operative counseling enforcing bed rest. Conclusions report has additional advantage creating pliable feel like that original