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Fournier's Gangrene as a Postoperative Complication of Inguinal Hernia Repair
Fournier's gangrene is the necrotizing fasciitis of perianal, genitourinary, and perineal regions. Herein, we present a case of scrotal Fournier's gangrene as a postoperative complication of inguinal hernia repair. A 51-year-old male with giant indirect hernia is presented. Patient underwe...
Autores principales: | , , , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
Hindawi Publishing Corporation
2014
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Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4253701/ https://www.ncbi.nlm.nih.gov/pubmed/25506030 http://dx.doi.org/10.1155/2014/408217 |
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author | Dinc, Tolga Kayilioglu, Selami Ilgaz Sozen, Isa Yildiz, Baris Dogu Coskun, Faruk |
author_facet | Dinc, Tolga Kayilioglu, Selami Ilgaz Sozen, Isa Yildiz, Baris Dogu Coskun, Faruk |
author_sort | Dinc, Tolga |
collection | PubMed |
description | Fournier's gangrene is the necrotizing fasciitis of perianal, genitourinary, and perineal regions. Herein, we present a case of scrotal Fournier's gangrene as a postoperative complication of inguinal hernia repair. A 51-year-old male with giant indirect hernia is presented. Patient underwent inguinal hernia repair, and after an unproblematic recovery period, he was discharged. He applied to our outpatient clinic on the fifth day with swollen and painful scrotum and it turned out to be Fournier's gangrene. Polypropylene mesh was not infected. Patient recovered and was discharged after repeated debridements. Basic principles in treatment of Fournier's gangrene are comprised of initial resuscitation, broad-spectrum antibiotics therapy, and early aggressive debridement. In the management of presented case, aggressive debridement was made right after diagnosis and broad-spectrum antibiotics were given to the hemodynamically stable patient. In these circumstances, the important question is whether we could prevent occurrence of Fournier's gangrene. |
format | Online Article Text |
id | pubmed-4253701 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2014 |
publisher | Hindawi Publishing Corporation |
record_format | MEDLINE/PubMed |
spelling | pubmed-42537012014-12-11 Fournier's Gangrene as a Postoperative Complication of Inguinal Hernia Repair Dinc, Tolga Kayilioglu, Selami Ilgaz Sozen, Isa Yildiz, Baris Dogu Coskun, Faruk Case Rep Surg Case Report Fournier's gangrene is the necrotizing fasciitis of perianal, genitourinary, and perineal regions. Herein, we present a case of scrotal Fournier's gangrene as a postoperative complication of inguinal hernia repair. A 51-year-old male with giant indirect hernia is presented. Patient underwent inguinal hernia repair, and after an unproblematic recovery period, he was discharged. He applied to our outpatient clinic on the fifth day with swollen and painful scrotum and it turned out to be Fournier's gangrene. Polypropylene mesh was not infected. Patient recovered and was discharged after repeated debridements. Basic principles in treatment of Fournier's gangrene are comprised of initial resuscitation, broad-spectrum antibiotics therapy, and early aggressive debridement. In the management of presented case, aggressive debridement was made right after diagnosis and broad-spectrum antibiotics were given to the hemodynamically stable patient. In these circumstances, the important question is whether we could prevent occurrence of Fournier's gangrene. Hindawi Publishing Corporation 2014 2014-11-19 /pmc/articles/PMC4253701/ /pubmed/25506030 http://dx.doi.org/10.1155/2014/408217 Text en Copyright © 2014 Tolga Dinc et al. https://creativecommons.org/licenses/by/3.0/ This is an open access article distributed under the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited. |
spellingShingle | Case Report Dinc, Tolga Kayilioglu, Selami Ilgaz Sozen, Isa Yildiz, Baris Dogu Coskun, Faruk Fournier's Gangrene as a Postoperative Complication of Inguinal Hernia Repair |
title | Fournier's Gangrene as a Postoperative Complication of Inguinal Hernia Repair |
title_full | Fournier's Gangrene as a Postoperative Complication of Inguinal Hernia Repair |
title_fullStr | Fournier's Gangrene as a Postoperative Complication of Inguinal Hernia Repair |
title_full_unstemmed | Fournier's Gangrene as a Postoperative Complication of Inguinal Hernia Repair |
title_short | Fournier's Gangrene as a Postoperative Complication of Inguinal Hernia Repair |
title_sort | fournier's gangrene as a postoperative complication of inguinal hernia repair |
topic | Case Report |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4253701/ https://www.ncbi.nlm.nih.gov/pubmed/25506030 http://dx.doi.org/10.1155/2014/408217 |
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