A fifty-nine year old Indian male was admitted with pain and swelling of 5 days in the scrotum. He had a swollen scrotum of 14 x 10 ems. with gangrene over its anterior, lateral and posterior surfaces, and discharging serosanguineous foul smelling fluid from its cracked surfaces. The penis was oedematous without evidence of gangrene (Fig. 1). The groins had fungal infection. Two days after admi...

Gas gangrene is a necrotic infection of soft tissue associated with high mortality, often necessitating amputation in order to control the infection. Herein we present a case of gas gangrene of the arm in an intravenous drug user with a history of intramuscular injections with normal saline in the shoulder used to provoke pain for recovery after drug induced coma. The patient was early treated ...

Gangrene of the extremities of venous origin is reviewed; it is a rare but distinct clinicopathologic entity hitherto not widely known. A classification of the cases of thrombophlebitis complicated with gangrene is presented, based on the presence of the peripheral pulses: (1) cases with palpable arteries; (2) cases with nonpalpable but patent arteries. Patency of the entire arterial system of ...

Fournier gangrene is a rare type of necrotizing fasciitis the genital or anorectal region that rapidly progresses towards diffuse tissue necrosis and mortality if untreated. As seen in this case, disease difficult to diagnose its early stages due lack pathognomonic signs differentiate it from localized scrotal abscess, cellulitis, pyoderma gangrenosum, orchitis. These initial findings Fournier’...

Fournier’s gangrene is a life-threatening soft-tissue infection of the perineum requiring radical soft-tissue debridement and antibiotic therapy. We report a 24-year follow-up of a patient with Fournier’s gangrene treated with subcutaneous unilateral testicle implantation following contralateral orchiectomy and radical debridement. Hormonal testicular function was preserved despite the subcutan...

A critically ill patient with septicemic plague and peripheral gangrene was treated successfully with ciprofloxacin. There are no previous reports of plague being successfully treated with ciprofloxacin. Peripheral gangrene of this patient's feet was managed with use of sympathetic blockade; the patient's toes appear to have been saved by this approach.

Peripheral gangrene as a manifestation of tuberculosis is very uncommon. An 8 year old male child presented with non-healing ulcer over the sole of left foot, left inguinal tubercular lymphadenopathy with scrofloderma, tubercular pleural effusion and gangrene of the right fore foot. The child improved on antitubercular treatment.

A six-year old boy presented with dry gangrene of toes and fingers with hypertension with no other systemic abnormalities. He had persistently high inflammatory parameters, was diagnosed as childhood classic polyarteritis nodosa and showed improvement with immunosuppressants along with antihypertensives. Toe gangrene required amputation in view of superadded infection.

Gas gangrene, clostridial myonecrosis, is one of the most serious infectious diseases, characterized by rapidly progressive destruction of deep soft tissues and production of gas within the tissues. We presented a case of fatal spontaneous gas gangrene due to Clostridium perfringens in a patient with acute lymphoblastic leukemia during remission induction chemotherapy phase.

ileosigmoid knotting (isk), also known as compound volvulus or double volvulus, is a rare cause of intestinal obstruction. the incidence of isk is not well known, but it generally occurs in areas with a high incidence of sigmoid volvulus (sv). ileosigmoid knotting is predominately seen in males (80.2%) with a mean age of 40 years. in an ileosigmoid knot, closed proximal loops of the ileum becom...