Fournier gangrene

Case contributed by Dr Rodney Strahan

Presentation

Diabetic patient lanced a perineal abscess in a remote African village. Hours later presented in shock with a fever.

Patient Data

Age: 80
Gender: Female
X-ray

Gas is tracking from the perineum along fascial planes up the left flank.

Dilated small and large bowel, probably due to an ileus caused by the nearby infection.

Case Discussion

Fournier gangrene typically occurs in male diabetics, rarely in females. It is an emergency to debride the affected tissue and treat the infection.

This patient had extensive tissue involved, due to the time to reach medical help, and did not survive.

PlayAdd to Share

Case information

rID: 51004
Case created: 1st Feb 2017
Last edited: 1st Jul 2017
Inclusion in quiz mode: Included

Updating… Please wait.
Loadinganimation

Alert accept

Error Unable to process the form. Check for errors and try again.

Alert accept Thank you for updating your details.