Sumisławski Piotr, Kołecki Janusz, Piotrowska Martyna, Kotowski Maciej, Szemitko Marcin, Sieńko Jerzy
Department of Neurosurgery, University Hospital Carl Gustav Carus, Technische Universität Dresden, Fetscherstr. 74, 01307 Dresden, Germany.
Department of General and Dental Radiology, Pomeranian Medical University, Al. Powstańców Wielkopolskich 72, 70-111 Szczecin, Poland.
Diagnostics (Basel). 2022 Sep 26;12(10):2320. doi: 10.3390/diagnostics12102320.
Fournier gangrene represents a urologic emergency. It is a rapidly progressing necrotizing fasciitis that comprises the perineal, perianal, and genital regions and has a high mortality rate. Diagnosis is usually made clinically, but radiological diagnostics, such as ultrasound (US), computed tomography (CT), or magnetic resonance imaging (MRI), can determine the extent of the disease in relation to pelvic structures. Early and accurate diagnosis precipitates the initiation of the effective treatment and, thus, affects the outcome of the therapy. The article reports an illustrative case study of a patient with Fournier gangrene, secondary to a perianal fistula and perianal abscess with a massive accumulation of fluid around the anus and testicles, requiring unilateral orchidectomy. Rapid radiological diagnosis via MRI enabled precise assessment of the degree of the disease, early surgical intervention, and a successful outcome.
福尼尔坏疽是一种泌尿外科急症。它是一种迅速进展的坏死性筋膜炎，累及会阴、肛周和生殖器区域，死亡率很高。诊断通常依靠临床判断，但放射学诊断方法，如超声（US）、计算机断层扫描（CT）或磁共振成像（MRI），可以确定疾病相对于盆腔结构的范围。早期准确的诊断促使开始有效的治疗，从而影响治疗结果。本文报道了一例福尼尔坏疽患者的典型病例，该患者继发于肛周瘘管和肛周脓肿，肛门和睾丸周围有大量积液，需要进行单侧睾丸切除术。通过MRI进行快速放射学诊断能够精确评估疾病程度，实现早期手术干预并取得成功的治疗结果。
