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创伤性经尿道插管后因福尼尔坏疽导致阴茎缺血性坏疽：一例报告。

Ischemic gangrene of the penis due to Fournier's gangrene following traumatic transurethral catheterization: A case report.

作者信息

Hernández Martínez Josué Omar, Bertrand Noriega Federico, Ramírez Pedraza Juan Manuel, Cosío Álvarez Raymundo Arturo

机构信息

Department of Urology, Hospital General Regional Ignacio Zaragoza, Estado de México, Mexico.

出版信息

Urol Case Rep. 2024 Aug 5;56:102820. doi: 10.1016/j.eucr.2024.102820. eCollection 2024 Sep.

DOI:10.1016/j.eucr.2024.102820
PMID:39206271
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC11350437/
Abstract

Fournier's gangrene is a life-threatening fascial infection. We report a case of a 65-year-old diabetic man with a history of obstructive prostate growth who developed ischemic penile gangrene following traumatic transurethral catheterization. Despite initial debridement, progressive necrosis necessitated total penectomy and cystostomy. This case highlights the potential for devastating consequences of failed catheterization and the importance of early urologic intervention.

摘要

福尼尔坏疽是一种危及生命的筋膜感染。我们报告一例65岁患有前列腺增生梗阻病史的糖尿病男性病例，该患者在经尿道创伤性插管后发生了缺血性阴茎坏疽。尽管最初进行了清创术，但病情进展导致坏死，最终不得不进行全阴茎切除术和膀胱造瘘术。该病例突出了插管失败可能带来的灾难性后果以及早期泌尿外科干预的重要性。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/aafc/11350437/5aa17d100368/gr5.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/aafc/11350437/4d36ba47d67e/gr1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/aafc/11350437/f1ed90e751ff/gr2.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/aafc/11350437/899a5c7a30a5/gr3.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/aafc/11350437/e90051ec7a35/gr4.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/aafc/11350437/5aa17d100368/gr5.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/aafc/11350437/4d36ba47d67e/gr1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/aafc/11350437/f1ed90e751ff/gr2.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/aafc/11350437/899a5c7a30a5/gr3.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/aafc/11350437/e90051ec7a35/gr4.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/aafc/11350437/5aa17d100368/gr5.jpg

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本文引用的文献

1
Global outcomes and lessons learned in the management of Fournier's gangrene from high-volume centres: findings from a literature review over the last two decades.全球大容量中心治疗 Fournier 坏疽的结局和经验教训：过去二十年文献回顾的结果。
World J Urol. 2022 Oct;40(10):2399-2410. doi: 10.1007/s00345-022-04139-4. Epub 2022 Sep 4.
2
Practical Review of the Current Management of Fournier's Gangrene.福尼尔坏疽当前治疗方法的实践综述
Plast Reconstr Surg Glob Open. 2022 Mar 14;10(3):e4191. doi: 10.1097/GOX.0000000000004191. eCollection 2022 Mar.
3
Fournier's gangrene: Seven years of experience in the emergencies service of visceral surgery at Ibn Rochd University Hospital Center.
福尼尔坏疽：伊本·鲁西德大学医院中心内脏外科急诊服务七年经验
Ann Med Surg (Lond). 2021 Oct 30;71:102821. doi: 10.1016/j.amsu.2021.102821. eCollection 2021 Nov.
4
Limb-threatening and life-threatening diabetic extremities: clinical patterns and outcomes in 56 patients.威胁肢体和生命的糖尿病肢体病变：56例患者的临床模式及预后
J Foot Ankle Surg. 2010 Jan-Feb;49(1):43-6. doi: 10.1053/j.jfas.2009.08.011.
5
Arterialization of deep dorsal vein of penis for penile ischemia.阴茎深背静脉动脉化治疗阴茎缺血。
Urology. 2005 Jan;65(1):174. doi: 10.1016/j.urology.2004.07.009.
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.