de Diego Rodríguez E, Correas Gómez M A, Martín García B, Hernández Rodríguez R, Portillo Martín J A, Gutiérrez Baños J L, del Valle Schaan J I, Roca Edreira A, Villanueva Peña A, Gutiérrez García R
Servicio de Urología, Hospital Universitario Marqués de Valdecilla, Santander, España.
Arch Esp Urol. 2000 Apr;53(3):275-8.
An uncommon case of Fournier's gangrene following vasectomy is described.
METHODS/RESULTS: A 35-year-old male with no remarkable previous history, who underwent vasectomy in another hospital, developed a clinical picture compatible with Fournier's gangrene 7-8 days later. The patient required wide, aggressive surgical debridement on several occasions with broad spectrum antibiotic coverage. After a long stay at the hospital, the patient was finally discharged and referred to another hospital for plastic surgery.
Fournier's gangrene is a polymicrobial infection of the perineoscrotal region that manifests as a rapidly progressive necrotizing fasciitis. Most of the cases have a predisposing and/or triggering factor. Fournier's gangrene following vasectomy is uncommon. The morbidity and mortality in this severe complication depend on early diagnosis and aggressive surgical management.
描述输精管切除术后发生福尼尔坏疽这一罕见病例。
方法/结果：一名35岁男性，既往无显著病史，在另一家医院接受了输精管切除术，7至8天后出现了与福尼尔坏疽相符的临床表现。患者多次需要进行广泛、积极的手术清创，并给予广谱抗生素覆盖。在医院长时间住院后，患者最终出院，并转诊至另一家医院进行整形手术。
福尼尔坏疽是会阴部阴囊区域的一种多微生物感染，表现为快速进展的坏死性筋膜炎。大多数病例有易感和/或触发因素。输精管切除术后发生福尼尔坏疽并不常见。这种严重并发症的发病率和死亡率取决于早期诊断和积极的手术治疗。
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