Grabińska Agnieszka, Michalczyk Łukasz, Banaczyk Beata, Syryło Tomasz, Ząbkowski Tomasz
Department of Urology, Military Institute of Medicine, Warsaw 04-141, Poland.
Department of Urology and Oncologic Urology, Praski Hospital in Warsaw, Warsaw 04-141, Poland.
World J Clin Cases. 2021 Feb 16;9(5):1215-1220. doi: 10.12998/wjcc.v9.i5.1215.
Fournier's gangrene (FG) is a serious, aggressive and often deadly polymicrobial infection of the soft tissues of the perineum, the rectum and the external genital organs. It is an anatomical subcategory of necrotizing fasciitis, which has a similar etiology and treatment strategy.
A 60-year-old man was admitted to the hospital during severe acute respiratory syndrome coronavirus 2 pandemic with complaints of fever up to 38.9 °C, abdominal pain, and edema of the scrotum, the penis, the perineum, and the right gluteal region for 2 d. Computed tomography of the abdomen and the pelvis revealed extensive inflammatory infiltrations of the subcutaneous tissue of the hypogastrium, and the penis; along with liquefaction and presence of gas in the subcutaneous tissues of the scrotum, the perineum, and the right gluteal region. The patient was diagnosed with FG, and was urgently qualified to undergo surgery in the Department of Urology. After performing the necessary examinations, a resection of the necrotic tissues with bilateral orchiectomy and excision of the penile and scrotal skin was performed. After surgery, he was transferred to the intensive care unit for further management.
Early management prevents the resection of the other organs by inhibiting the contiguous spread of infection.
福尼尔坏疽（FG）是一种严重、侵袭性且往往致命的会阴部、直肠和外生殖器软组织的多微生物感染。它是坏死性筋膜炎的一个解剖学亚类，病因和治疗策略相似。
一名60岁男性在严重急性呼吸综合征冠状病毒2大流行期间因发热至38.9℃、腹痛以及阴囊、阴茎、会阴部和右臀区域水肿2天入院。腹部和骨盆计算机断层扫描显示下腹部和阴茎皮下组织广泛炎症浸润；阴囊、会阴部和右臀区域皮下组织出现液化和气体。患者被诊断为FG，并紧急在泌尿外科接受手术评估。进行必要检查后，切除坏死组织并进行双侧睾丸切除术以及阴茎和阴囊皮肤切除术。术后，他被转入重症监护病房进行进一步治疗。
早期治疗可通过抑制感染的蔓延防止其他器官被切除。
