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Unusual foreign body in the sigmoid colon, chronic alcohol abuse, and Fournier gangrene: a case report.

Schulz D, Mohor GS, Solovan C - Clin Interv Aging (2015)

Bottom Line: After unrecognized stent migration in the sigmoid without colonic perforation, he developed severe necrosis of the scrotum and perineum, which spontaneously perforated, presenting a smell suggesting moist gangrene.FG that has spread to the male genital organs presents therapeutic challenges.The purpose of our study is to present this case, typical for FG, with an educational aim both for the internal and surgical specialties, and the goal of further multidisciplinary collaboration for the optimal management of the patient with personalized treatment.

View Article: PubMed Central - PubMed

Affiliation: Sana Kliniken Leipziger Land, Klinik fur Urologie, Borna, Leipzig, Germany.

ABSTRACT
Fournier gangrene (FG) is an infectious condition with fulminant evolution and is sometimes life-threatening. Here, we present the case of an immunocompromised 59-year-old male with surgical history of a pancreatic pseudocyst stented endoscopically. After unrecognized stent migration in the sigmoid without colonic perforation, he developed severe necrosis of the scrotum and perineum, which spontaneously perforated, presenting a smell suggesting moist gangrene. FG that has spread to the male genital organs presents therapeutic challenges. The purpose of our study is to present this case, typical for FG, with an educational aim both for the internal and surgical specialties, and the goal of further multidisciplinary collaboration for the optimal management of the patient with personalized treatment.

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The situation close to patient’s release: the wound shows granular tissue formation and is without any visible necrotic areas.
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f7-cia-10-673: The situation close to patient’s release: the wound shows granular tissue formation and is without any visible necrotic areas.

Mentions: Due to an ileus induced by adhesion pathology, the patient had a laparotomy with adhesiolysis. From this surgical department, he again left the hospital in good mental health, was spatial and time oriented and cooperative, with stable blood pressure and sustained, spontaneous breathing frequency; the wound did not show any visible necrotic tissue (Figure 7).


Unusual foreign body in the sigmoid colon, chronic alcohol abuse, and Fournier gangrene: a case report.

Schulz D, Mohor GS, Solovan C - Clin Interv Aging (2015)

The situation close to patient’s release: the wound shows granular tissue formation and is without any visible necrotic areas.
© Copyright Policy
Related In: Results  -  Collection

License
Show All Figures
getmorefigures.php?uid=PMC4388072&req=5

f7-cia-10-673: The situation close to patient’s release: the wound shows granular tissue formation and is without any visible necrotic areas.
Mentions: Due to an ileus induced by adhesion pathology, the patient had a laparotomy with adhesiolysis. From this surgical department, he again left the hospital in good mental health, was spatial and time oriented and cooperative, with stable blood pressure and sustained, spontaneous breathing frequency; the wound did not show any visible necrotic tissue (Figure 7).

Bottom Line: After unrecognized stent migration in the sigmoid without colonic perforation, he developed severe necrosis of the scrotum and perineum, which spontaneously perforated, presenting a smell suggesting moist gangrene.FG that has spread to the male genital organs presents therapeutic challenges.The purpose of our study is to present this case, typical for FG, with an educational aim both for the internal and surgical specialties, and the goal of further multidisciplinary collaboration for the optimal management of the patient with personalized treatment.

View Article: PubMed Central - PubMed

Affiliation: Sana Kliniken Leipziger Land, Klinik fur Urologie, Borna, Leipzig, Germany.

ABSTRACT
Fournier gangrene (FG) is an infectious condition with fulminant evolution and is sometimes life-threatening. Here, we present the case of an immunocompromised 59-year-old male with surgical history of a pancreatic pseudocyst stented endoscopically. After unrecognized stent migration in the sigmoid without colonic perforation, he developed severe necrosis of the scrotum and perineum, which spontaneously perforated, presenting a smell suggesting moist gangrene. FG that has spread to the male genital organs presents therapeutic challenges. The purpose of our study is to present this case, typical for FG, with an educational aim both for the internal and surgical specialties, and the goal of further multidisciplinary collaboration for the optimal management of the patient with personalized treatment.

Show MeSH
Related in: MedlinePlus