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Fournier's gangrene in a rectal cancer patient.
Int J Surg Case Rep. 2020; 67:150-153.IJ

Abstract

INTRODUCTION

Fournier's gangrene (FG) is caused by a variety of causes, but FG led by rectal cancer is rare.

PRESENTATION OF CASE

A 62-year-old man presented with perineal pain for several days. Multiple black spots on the scrotum and perineum surrounded by erythema were found on a physical exam. Computed tomography showed diffuse air density with subcutaneous edema in the perineum, scrotum, anus, and left lower abdominal wall and showed 4.1 cm-size mass in anus. He was diagnosed with FG caused by rectal cancer. He underwent extensive debridement of the perineum, scrotum, medial buttocks, and diverting loop colostomy of transverse colon. After repeated debridement of some residual necrotic tissue, abdominal perineal resection was performed after 24 days after initial surgery. The patient received reconstruction surgery of the soft tissue defect and discharged on postoperative day 84. He is being followed up without any recurrence for 10 months.

CONCLUSION

Prompt clinical diagnosis and urgent surgical management are crucial for patient's favorable outcome. The patient in our case study could be recovered by a combined modality therapy we provided.

Links

Authors+Show Affiliations

Department of Surgery, Pusan National University Hospital, 179, Gudeok-ro, Seo-gu, Busan 49241, South Korea.

Department of Surgery, Pusan National University Hospital, 179, Gudeok-ro, Seo-gu, Busan 49241, South Korea. Electronic address: gsbc3927@gmail.com.

Department of Surgery, Pusan National University Hospital, 179, Gudeok-ro, Seo-gu, Busan 49241, South Korea.

Department of Surgery, Pusan National University Hospital, 179, Gudeok-ro, Seo-gu, Busan 49241, South Korea.

Department of Surgery, Pusan National University Hospital, 179, Gudeok-ro, Seo-gu, Busan 49241, South Korea.

Department of Surgery, Pusan National University Hospital, 179, Gudeok-ro, Seo-gu, Busan 49241, South Korea.

Pub Type(s)

Case Reports

Language

eng

PubMed ID

32062122

Citation

Hyun, Dong Woo, et al. "Fournier's Gangrene in a Rectal Cancer Patient." International Journal of Surgery Case Reports, vol. 67, 2020, pp. 150-153.

Hyun DW, Lee BC, Choi JB, et al. Fournier's gangrene in a rectal cancer patient. Int J Surg Case Rep. 2020;67:150-153.

Hyun, D. W., Lee, B. C., Choi, J. B., Park, Y. M., Jung, H. J., & Jo, H. J. (2020). Fournier's gangrene in a rectal cancer patient. International Journal of Surgery Case Reports, 67, 150-153. https://doi.org/10.1016/j.ijscr.2020.01.040

Hyun DW, et al. Fournier's Gangrene in a Rectal Cancer Patient. Int J Surg Case Rep. 2020;67:150-153. PubMed PMID: 32062122.

* Article titles in AMA citation format should be in sentence-case

TY - JOUR T1 - Fournier's gangrene in a rectal cancer patient. AU - Hyun,Dong Woo, AU - Lee,Byoung Chul, AU - Choi,Jung Bum, AU - Park,Young Mok, AU - Jung,Hyuk Jae, AU - Jo,Hong Jae, Y1 - 2020/02/06/ PY - 2019/11/17/received PY - 2020/01/14/revised PY - 2020/01/30/accepted PY - 2020/2/18/pubmed PY - 2020/2/18/medline PY - 2020/2/17/entrez KW - Fournier’s gangrene KW - Necrotizing fasciitis KW - Rectal cancer SP - 150 EP - 153 JF - International journal of surgery case reports JO - Int J Surg Case Rep VL - 67 N2 - INTRODUCTION: Fournier's gangrene (FG) is caused by a variety of causes, but FG led by rectal cancer is rare. PRESENTATION OF CASE: A 62-year-old man presented with perineal pain for several days. Multiple black spots on the scrotum and perineum surrounded by erythema were found on a physical exam. Computed tomography showed diffuse air density with subcutaneous edema in the perineum, scrotum, anus, and left lower abdominal wall and showed 4.1 cm-size mass in anus. He was diagnosed with FG caused by rectal cancer. He underwent extensive debridement of the perineum, scrotum, medial buttocks, and diverting loop colostomy of transverse colon. After repeated debridement of some residual necrotic tissue, abdominal perineal resection was performed after 24 days after initial surgery. The patient received reconstruction surgery of the soft tissue defect and discharged on postoperative day 84. He is being followed up without any recurrence for 10 months. CONCLUSION: Prompt clinical diagnosis and urgent surgical management are crucial for patient's favorable outcome. The patient in our case study could be recovered by a combined modality therapy we provided. SN - 2210-2612 UR - https://www.unboundmedicine.com/medline/citation/32062122/Fournier's_gangrene_in_a_rectal_cancer_patient_ DB - PRIME DP - Unbound Medicine ER -