Cargando…
A rare case of retroperitoneal extension in Fournier's gangrene: A case report and review of literature
INTRODUCTION AND IMPORTANCE: Retroperitoneal extension is a rare and fatal complication of Fournier's gangrene (FG) which mandates immediate surgical intervention for better outcome. CASE PRESENTATION: A 70-year-old male presented to the emergency department with a history of bilateral painful...
Autores principales: | , , , , |
---|---|
Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
Elsevier
2022
|
Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9142370/ https://www.ncbi.nlm.nih.gov/pubmed/35638004 http://dx.doi.org/10.1016/j.amsu.2022.103595 |
_version_ | 1784715560606498816 |
---|---|
author | Basukala, Sunil Khand, Yugant Pahari, Soumya Shah, Kunda Bikram Shah, Aashish |
author_facet | Basukala, Sunil Khand, Yugant Pahari, Soumya Shah, Kunda Bikram Shah, Aashish |
author_sort | Basukala, Sunil |
collection | PubMed |
description | INTRODUCTION AND IMPORTANCE: Retroperitoneal extension is a rare and fatal complication of Fournier's gangrene (FG) which mandates immediate surgical intervention for better outcome. CASE PRESENTATION: A 70-year-old male presented to the emergency department with a history of bilateral painful scrotal swelling for 7 days with fever and abdominal pain for 3 days. On his general examination, he was septic with necrotic patches in the perineum and bilateral scrotum. Imaging revealed soft tissue gas and collections in scrotum extending to the right retroperitoneum with massive collection suggestive of retroperitoneal abscess. Following resuscitation and intravenous antibiotics, immediate exploratory laparotomy was done to drain the retroperitoneal abscess followed by debridement of Fournier's gangrene. The patient remained well on follow up. CLINICAL DISCUSSION: Fournier gangrene is a fulminant polymicrobial infection of the perineum, scrotum and penis which when complicated by retroperitoneal extension, has a very high mortality. Majority of patients have an immunocompromised condition. Early diagnosis with prompt surgical drainage and debridement (within 6 hours) significantly reduces the mortality. CONCLUSION: High index of suspicion, careful clinical examination and timely use of imaging is crucial for early diagnosis of this rare but fatal complication of FG. Furthermore, adequate resuscitation with prompt surgical intervention is the key for a favorable outcome. |
format | Online Article Text |
id | pubmed-9142370 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2022 |
publisher | Elsevier |
record_format | MEDLINE/PubMed |
spelling | pubmed-91423702022-05-29 A rare case of retroperitoneal extension in Fournier's gangrene: A case report and review of literature Basukala, Sunil Khand, Yugant Pahari, Soumya Shah, Kunda Bikram Shah, Aashish Ann Med Surg (Lond) Case Report INTRODUCTION AND IMPORTANCE: Retroperitoneal extension is a rare and fatal complication of Fournier's gangrene (FG) which mandates immediate surgical intervention for better outcome. CASE PRESENTATION: A 70-year-old male presented to the emergency department with a history of bilateral painful scrotal swelling for 7 days with fever and abdominal pain for 3 days. On his general examination, he was septic with necrotic patches in the perineum and bilateral scrotum. Imaging revealed soft tissue gas and collections in scrotum extending to the right retroperitoneum with massive collection suggestive of retroperitoneal abscess. Following resuscitation and intravenous antibiotics, immediate exploratory laparotomy was done to drain the retroperitoneal abscess followed by debridement of Fournier's gangrene. The patient remained well on follow up. CLINICAL DISCUSSION: Fournier gangrene is a fulminant polymicrobial infection of the perineum, scrotum and penis which when complicated by retroperitoneal extension, has a very high mortality. Majority of patients have an immunocompromised condition. Early diagnosis with prompt surgical drainage and debridement (within 6 hours) significantly reduces the mortality. CONCLUSION: High index of suspicion, careful clinical examination and timely use of imaging is crucial for early diagnosis of this rare but fatal complication of FG. Furthermore, adequate resuscitation with prompt surgical intervention is the key for a favorable outcome. Elsevier 2022-04-09 /pmc/articles/PMC9142370/ /pubmed/35638004 http://dx.doi.org/10.1016/j.amsu.2022.103595 Text en © 2022 The Author(s) https://creativecommons.org/licenses/by/4.0/This is an open access article under the CC BY license (http://creativecommons.org/licenses/by/4.0/). |
spellingShingle | Case Report Basukala, Sunil Khand, Yugant Pahari, Soumya Shah, Kunda Bikram Shah, Aashish A rare case of retroperitoneal extension in Fournier's gangrene: A case report and review of literature |
title | A rare case of retroperitoneal extension in Fournier's gangrene: A case report and review of literature |
title_full | A rare case of retroperitoneal extension in Fournier's gangrene: A case report and review of literature |
title_fullStr | A rare case of retroperitoneal extension in Fournier's gangrene: A case report and review of literature |
title_full_unstemmed | A rare case of retroperitoneal extension in Fournier's gangrene: A case report and review of literature |
title_short | A rare case of retroperitoneal extension in Fournier's gangrene: A case report and review of literature |
title_sort | rare case of retroperitoneal extension in fournier's gangrene: a case report and review of literature |
topic | Case Report |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9142370/ https://www.ncbi.nlm.nih.gov/pubmed/35638004 http://dx.doi.org/10.1016/j.amsu.2022.103595 |
work_keys_str_mv | AT basukalasunil ararecaseofretroperitonealextensioninfourniersgangreneacasereportandreviewofliterature AT khandyugant ararecaseofretroperitonealextensioninfourniersgangreneacasereportandreviewofliterature AT paharisoumya ararecaseofretroperitonealextensioninfourniersgangreneacasereportandreviewofliterature AT shahkundabikram ararecaseofretroperitonealextensioninfourniersgangreneacasereportandreviewofliterature AT shahaashish ararecaseofretroperitonealextensioninfourniersgangreneacasereportandreviewofliterature AT basukalasunil rarecaseofretroperitonealextensioninfourniersgangreneacasereportandreviewofliterature AT khandyugant rarecaseofretroperitonealextensioninfourniersgangreneacasereportandreviewofliterature AT paharisoumya rarecaseofretroperitonealextensioninfourniersgangreneacasereportandreviewofliterature AT shahkundabikram rarecaseofretroperitonealextensioninfourniersgangreneacasereportandreviewofliterature AT shahaashish rarecaseofretroperitonealextensioninfourniersgangreneacasereportandreviewofliterature |