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孤立性阴茎坏死性筋膜炎:1例罕见病例

Isolated Penile Fournier's Gangrene: A Rare Case.

作者信息

Batmaz Orkun, Ucar Murat, Caylan Ahmet E, Gök İsmail B, Vural Veli

机构信息

Urology, Faculty of Medicine, Akdeniz University, Antalya, TUR.

General Surgery, Akdeniz University Hospital, Antalya, TUR.

出版信息

Cureus. 2020 May 4;12(5):e7953. doi: 10.7759/cureus.7953.

DOI:10.7759/cureus.7953
PMID:32509478
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC7270829/
Abstract

Fournier's gangrene is necrotizing fasciitis involving the penis, scrotum, or perineal region. This condition is associated with a high mortality rate and requires aggressive debridement of necrotic tissues. It is mainly seen in elderly, immune-suppressed, diabetic patients, or patients with long-term urinary catheterization. Isolated penile involvement is very rare due to the rich blood supply of the organ and is thought to be induced by penile trauma with partial involvement of the urethra.In this study, we present a patient with isolated penile and urethral necrosis rather than scrotum and perineum and emphasize its gastrointestinal source.

摘要

福尼尔坏疽是一种累及阴茎、阴囊或会阴区域的坏死性筋膜炎。这种疾病死亡率高,需要积极清创坏死组织。它主要见于老年人、免疫抑制患者、糖尿病患者或长期留置导尿管的患者。由于阴茎血供丰富,孤立性阴茎受累非常罕见,被认为是由阴茎外伤伴尿道部分受累引起的。在本研究中,我们报告了一名孤立性阴茎和尿道坏死而非阴囊和会阴坏死的患者,并强调其胃肠道来源。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/e861/7270829/4c83d7338ed9/cureus-0012-00000007953-i04.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/e861/7270829/156d6bc06c67/cureus-0012-00000007953-i01.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/e861/7270829/a8ce1afbd702/cureus-0012-00000007953-i02.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/e861/7270829/893375ca8d9a/cureus-0012-00000007953-i03.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/e861/7270829/4c83d7338ed9/cureus-0012-00000007953-i04.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/e861/7270829/156d6bc06c67/cureus-0012-00000007953-i01.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/e861/7270829/a8ce1afbd702/cureus-0012-00000007953-i02.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/e861/7270829/893375ca8d9a/cureus-0012-00000007953-i03.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/e861/7270829/4c83d7338ed9/cureus-0012-00000007953-i04.jpg

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引用本文的文献

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Post catheterization Fournier's gangrene involving the entire anterior urethra: case report.导尿术后累及整个前尿道的福尼尔坏疽:病例报告
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2
Penile gangrene due to improper application of a condom catheter: a case report.因避孕套导尿管使用不当导致的阴茎坏疽:病例报告。
J Med Case Rep. 2023 Jan 31;17(1):30. doi: 10.1186/s13256-023-03771-x.
3
Management of Fournier's gangrene during the Covid-19 pandemic era: make a virtue out of necessity.

本文引用的文献

1
Isolated Penile Fournier's gangrene: A case report and literature review.孤立性阴茎坏死性筋膜炎:一例病例报告及文献综述。
Int J Surg Case Rep. 2019;62:65-68. doi: 10.1016/j.ijscr.2019.08.012. Epub 2019 Aug 17.
2
Fournier's Gangrene of the Penis following a Human Bite Wound.人咬伤后阴茎的福尼尔坏疽
Case Rep Urol. 2018 Oct 25;2018:9798607. doi: 10.1155/2018/9798607. eCollection 2018.
3
Partial penectomy after debridement of a Fournier's gangrene progressing with an isolated penile necrosis.在清创治疗进展为孤立性阴茎坏死的福尼尔坏疽后行部分阴茎切除术。
2019冠状病毒病大流行时期福尼尔坏疽的管理:因势利导。
Basic Clin Androl. 2022 Jul 19;32(1):12. doi: 10.1186/s12610-022-00162-y.
Ulus Travma Acil Cerrahi Derg. 2014 Sep;20(5):385-8. doi: 10.5505/tjtes.2014.93636.
4
Fournier's Gangrene: Current Practices.福尼尔坏疽:当前的治疗方法
ISRN Surg. 2012;2012:942437. doi: 10.5402/2012/942437. Epub 2012 Dec 3.
5
Fournier's gangrene following penile self-injection with cocaine.阴茎自我注射可卡因后发生的福尼尔坏疽。
Scand J Urol Nephrol. 2002;36(4):317-8. doi: 10.1080/003655902320248326.
6
Fournier's gangrene: a review of 1726 cases.福尼尔坏疽:1726例病例综述。
Br J Surg. 2000 Jun;87(6):718-28. doi: 10.1046/j.1365-2168.2000.01497.x.