Fournier gangrene

Case contributed by Ammar Haouimi
Diagnosis almost certain


Diabetic patient, presented with painful swelling of the perineal region.

Patient Data

Age: 75 years
Gender: Male

There is a hypodense collection with peripheral enhancement extending from the prostatic base to the ventral aspect of the penis with involvement of the corpus spongiosum. There is also subcutaneous gas within a thickened scrotal wall with associated bilateral perineal fat stranding. 


Case Discussion

CT features are highly suggestive of Fournier gangrene.

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