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Necrotizing fasciitis - perineal

Case contributed by Maxime St-Amant
Diagnosis probable

Presentation

Extreme perineal pain.

Patient Data

Age: 30 years

Pelvis

ct

CT-scan shows extensive subcutaneous air involving the right vaginal labia and fat stranding of the anterior abdominal wall / perineum. 

Case Discussion

The findings are highly suggestive of necrotizing fasciitis / Fournier's gangrene (even though this term is usually reserved for male).

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