Hospital Physician January 2008 39 S pontaneous gangrene of the scrotum was described for the first time in 1753 by Boerhaave,1 who reported on a 40-year-old man with urinary retention. Since that time, several authors have reported similar cases of spontaneous gangrene of the scrotum and penis with associated diseases such as systemic infections, diabetes, urinary extravasations and infiltrati...

Sir, Fournier ’s gangrene is an uncommon rapidly progressive polymicrobial (aerobes and anaerobes) infection of the genital, perineal and perianal region, 4] resulting in necrotizing fasciitis, due to endarteritis of scrotal vessels and gangrene of the scrotum. It can involve contiguous areas like the lower urinary tract, anus, rectum and colon. The course of disease is rapid and the disease ca...

BACKGROUND The aim of this study was to evaluate the necessity of preventive colostomy for Fournier's gangrene of the anorectal region. METHODS The medical records of 37 patients with perianal Fournier's gangrene were evaluated retrospectively. Debridement(s) alone was performed in 18 patients (Group D), while debridement(s) plus Hartmann colostomy was performed in 19 patients (Group D&HC). ...

conclusions the lower levels of sugar in crushed fingers compared to healthy fingers can help to diagnose gangrene in crushed fingers. objectives the current study aimed to compare the blood sugar (bs) levels measured by the glucometer in healthy and crushed fingers to predict gangrene in patients referred to 15 khordad hospital in tehran, iran. methods this cohort study was conducted on 265 pa...

abstract background: the loop colostomy is one of the most popular techniques used as a protective maneuver for a distal anastomosis and/or temporary fecal diversion. we are introducing the use of a full thickness skin bridge under the large bowel instead of a glass rod which alleviates problems such as protrusion of the large bowel, retraction of the bowel into the abdomen after removing the r...

introduction: multiple myeloma represents a malignant proliferation of plasma cells derived from a single clone and it results in bone pain or fracture, renal failure, susceptibility to infections, anemia, and hypercalcemia. the hyperviscosity syndrome is rare. cryoglobulins are immunoglubulins that precipitate in the cold temperature less than 37˚c. monoclonal cryoglobulins are associated with...