Presentation
Recent surgery for fistula-in-ano at a nearby clinic. Presented with scrotal swelling.
Patient Data
Age: 34
Gender: Male
From the case:
Fournier gangrene
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Marked scrotal wall edema with fluid collection and dirty shadowing from gas.
No evidence of a hydrocele.
Note: Image quality looks dirty, but that's the dirty look a Fournier gangrene scrotum has!
Case Discussion
In a setting of fistula-in-ano surgery, scrotal wall edema with fluid collection and dirty shadowing from gas most likely represents Fournier gangrene.