Finkelstein Emily R, Perez-Quirante Federico, Panthaki Zubin
Department of Surgery, Division of Plastic and Reconstructive Surgery, University of Miami, Miami, USA.
Cureus. 2022 Jun 16;14(6):e25988. doi: 10.7759/cureus.25988. eCollection 2022 Jun.
We describe the case of a 43-year-old male diagnosed with acute myeloid leukemia complicated by Fournier's gangrene. Multiple debridements led to the complete effacement of the scrotum, with 360 degrees of exposed testes and a narrow base of suspension. It was decided to reconstruct the scrotum using bilateral gracilis muscle rotational flaps, followed by split-thickness skin grafting from the thigh. The gracilis muscle as a donor flap allowed for the protection and support of the testes and suspensory tissue while achieving an aesthetically pleasing result that resembled the normal scrotum. We hope providers will consider this reconstructive method in future patients who present with similar extensive effacement of the scrotal tissue.
我们描述了一例43岁男性，诊断为急性髓系白血病并伴有福尼尔坏疽。多次清创导致阴囊完全消失，睾丸360度外露且悬吊基部狭窄。决定使用双侧股薄肌旋转皮瓣重建阴囊，随后从大腿取断层皮片移植。股薄肌作为供体皮瓣能够保护和支撑睾丸及悬吊组织，同时获得与正常阴囊相似的美观效果。我们希望医疗人员在未来遇到阴囊组织有类似广泛毁损的患者时会考虑这种重建方法。
