Hungarian Radiology

[Fournier’s gangrene]

MÁTÉKA Ilona, MORVAY Zita, PALKÓ András

OCTOBER 15, 2010

Hungarian Radiology - 2010;84(03)

[INTRODUCTION - Fournier’s gangrene is a rare, rapidly progressive specific form of necrotizing fasciitis that involves the soft tissues of the genital and perianal regions. The infection may spread from these regions along the abdominal wall or towards the lower limbs and has a very high mortality rate. History of the patient, the clinical features and the imaging techniques all together help to recognize the condition and to localize the affected area. CASE REPORT - We present the case of a thirty-year-old male patient, who had on admission a swollen left lower limb. Deep venous thrombosis was excluded by Doppler us. A few days later an other us examination revealed the fasciitis of the left thigh and the scrotum, originating from the deep gluteal bed-sore of the patient. A CT was performed to define the extent of the process and help the planning of the surgical intervention. The patient has recovered well after the operation. CONCLUSION - Due to the high mortality rate of Fournier’s gangrene it is essential to recognize this condition in time and to provide the appropriate surgical intervention or antibiotic therapy. Imaging modalities play a very important role in the diagnosis of Fournier’s gangrene.]

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