2020, Number 5
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Rev Fac Med UNAM 2020; 63 (5)
Fournier’s Gangrene. A Case Report
Pérez LGP, Cornelio RG, Quiroz CO
Language: Spanish
References: 17
Page: 26-30
PDF size: 446.24 Kb.
ABSTRACT
Fournier’s Gangrene is a type II necrotizing fascitis that leads
to thrombosis of small subcutaneous vessels and spreads
through the perianal and genital regions and the skin of
the perineal. Most cases have a perianal or colorectal focus
and in a smaller proportion it originates from the urogenital
tract.
The mortality rate varies between 7.8 and 50%, only timely
diagnosis decreases the morbidity and mortality of this
condition. Treatment includes surgical debridement of all
necrotic tissue and the use of broad-spectrum antibiotics.
REFERENCES
Sherman J, Solliday M, Paraiso E, et al. Early CT findings of Fournier’s Gangrene in a healthy male. Clinical Imaging. 1998;22(6):425-7.
Chia H, Pan K, Chi H, et. al. FDG PET/CT Images demonstrating Fournier Gangrene with bilateral pelvic muscle extension in a patient with recurrent rectosigmoid cancer. Clin Nucl Med. 2014;39:52-3.
Levenson R, Singh A, Novelline R. Fournier Gangrene: Role of Imaging. Radiographics. 2008;28(2):519-28.
Abass J, Kovacs M, Simon E. Fournier’s Gangrene Masking as Perineal and Scrotal Cellulitis. American Journal of Emergency Medicine. 2018;36:1719.e1-1719. e2.
Kuzaka B, Wrólewska M, Borbowski, et al. Fournier’s Gangrene: Clinical Presentation of 13 Cases. Med Sci Monit. 2018;24:548-55.
Huang C. Fournier’s Gangrene. N Ena J Med. 2017; 376:12.
Palvolgyl R, Kaji A, Valeriano J, et al. Fournier’s Gangrene: A model for early prediction. The American Surgeon. 2014;80(10):926-31.
Ballard D, Raptis C, Guerra J, et al. Preoperative CT findings and interobserver reliability of Fournier Gangrene. AJR. 2018;211:1-7.
Voelzke B, Hagedon J. Presentation and diagnosis of Fournier Gangrene. Urology. 2017;114:8-13.
Gadler T, Huey S, Hunt K. Recognizing Fournier’s Gangrene in the Emergency Department. Adv Em Nur Journal. 2019;41:33-8.
Morris M, Aru M, Gaugler A, et al. Necrotizing fasciitis of the perineum associated with a Bartholin abscess. Surg Infect. 2014;15:131-3.
Goh T, Goh LG, Ang CH, et al. Early diagnosis of necrotizing fasciitis. Br J Surg. 2014;101:e119-e125.
Eke N. Fournier’s gangrene: a review of 1726 cases. Br J Surg. 2000;87:718-28
Morrison D, Blaivas M, Lyon M. Emergency diagnosis of Fournier’s gangrene with bedside ultrasound. Am J Emerg Med. 2005;23:544-7.
Park BJ, Sung DJ, Yeom SK, et al. Communication between spaces formed by fasciae of male external genitalia and perineum: computed tomographic cadaveric study and clinical significance. J Comput Assist Tomogr. 2010;34:193-8.
Zacharias N, Velmahos GC, Salama A, et al. Diagnosis of necrotizing soft tissue infections by computed tomography. Arch Surg. 2010;145:452-5.
Martinschek A, Evers B, Lampl L. et al. Prognostic aspects, survival rate, and predisposing risk factors in patients with Fournier’s gangrene and necrotizing soft tissue infections: evaluation of clinical outcome of 55 patients. Urol Int. 2012;89:173-9.