Fournier gangrene

Case contributed by Dr Praveen Jha

Presentation

Recent surgery for fistula-in-ano at a nearby clinic. Presented with scrotal swelling.

Patient Data

Age: 34
Gender: Male
Ultrasound

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.

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