Abstract
Fournier's gangrene is a bacterial and rapidly progressive necrotizing fasciitis of the perianal and perineal region. It still has high morbidity and mortality. We aimed to present Fournier's gangrene, which developed in a 49-year-old male patient with substance abuse. The patient was brought to the emergency department with complaints of abdominal pain and pain in the perineum and perianal region on the 3rd day after foreign body trauma to the perianal region. Crepitation was detected under the skin in the suprapubic region of the patient. Acute abdomen was present in the abdominal examination. In the abdominal tomography, minimal fluid was detected between the bowel loops in the pelvis. Diffuse edema, heterogeneity and emphysematous changes were observed in the skin and subcutaneous tissues in the perineum, and in the rectus muscle of the anterior abdominal wall. The patient underwent an emergency laparotomy. Abscess material extending from the back of the rectus muscle to the pelvis was seen in the abdomen. Abscess and necrotic areas in the abdomen and perineum were cleaned. A protective Hartman end colostomy was opened to the patient. In the postoperative period, VAC was applied to the perianal region for 3 sessions with 72 hour intervals. Then, the wound in the perineum was closed primarily. After 3 months, his colostomy was taken into the abdomen. Early and aggressive surgical debridement, broad-spectrum antibiotics, and fluid resuscitation are critical in Fournier's gangrene. Because of this patient's late admission to the hospital and his long-term immunosuppression associated with substance abuse, his clinical condition deteriorated rapidly. It should be kept in mind that skin infections in the perianal region may progress to Fournier's gangrene in patients with conditions that may cause immunosuppression, such as substance abuse.
Keywords
References
- Ghodoussipour SB, Gould D, Lifton J, et al. Surviving Fournier's gangrene: Multivariable analysis and a novel scoring system to predict length of stay. J Plast Reconstr Aesthet Surg. 2018;71(5):712-718. doi: 10.1016/j.bjps.2017.12.005.
- Althunayyan S, Karamitosos E. Fournier's gangrene in an obese female in third trimester of pregnancy. Saudi Med J. 2018;39(4):415-418. doi: 10.15537/smj.2018.4.21780
- Sugihara T, Yasunaga H, Horiguchi H, et al. Impact of surgical intervention timing on the case fatality rate for Fournier's gangrene: an analysis of 379 cases. BJU Int. 2012;110(11 Pt C):1096-1100. doi: 10.1111/j.1464-410X.2012.11291.x
- Sorensen MD, Krieger JN, Rivara FP, et al. Fournier's gangrene: population based epidemiology and outcomes. J Urol. 2009;181(5):2120-2126. doi: 10.1016/j.juro.2009.01.034
- Aksel G, Özel BA, Kavalcı C, Muratoğlu M. Diabetes mellitusu olan bir kadın hastada Fournier Gangreni: bir olgu sunumu. JAEMCR. 2014;5:206-208 doi:10.5152/jaemcr.2014.392
- Al Shukry S, Ommen J. Necrotizing fasciitis-report of ten cases and review of recent literature. J Med Life. 2013;6(2):189-194.
- Taylor GM, Hess DV. Fournier gangrene: a rare case of necrotizing fasciitis of the entire right hemi-pelvis in a diabetic female. Oxf Med Case Reports. 2018;2018(2):omx094. doi: 10.1093/omcr/omx094
Abstract
References
- Ghodoussipour SB, Gould D, Lifton J, et al. Surviving Fournier's gangrene: Multivariable analysis and a novel scoring system to predict length of stay. J Plast Reconstr Aesthet Surg. 2018;71(5):712-718. doi: 10.1016/j.bjps.2017.12.005.
- Althunayyan S, Karamitosos E. Fournier's gangrene in an obese female in third trimester of pregnancy. Saudi Med J. 2018;39(4):415-418. doi: 10.15537/smj.2018.4.21780
- Sugihara T, Yasunaga H, Horiguchi H, et al. Impact of surgical intervention timing on the case fatality rate for Fournier's gangrene: an analysis of 379 cases. BJU Int. 2012;110(11 Pt C):1096-1100. doi: 10.1111/j.1464-410X.2012.11291.x
- Sorensen MD, Krieger JN, Rivara FP, et al. Fournier's gangrene: population based epidemiology and outcomes. J Urol. 2009;181(5):2120-2126. doi: 10.1016/j.juro.2009.01.034
- Aksel G, Özel BA, Kavalcı C, Muratoğlu M. Diabetes mellitusu olan bir kadın hastada Fournier Gangreni: bir olgu sunumu. JAEMCR. 2014;5:206-208 doi:10.5152/jaemcr.2014.392
- Al Shukry S, Ommen J. Necrotizing fasciitis-report of ten cases and review of recent literature. J Med Life. 2013;6(2):189-194.
- Taylor GM, Hess DV. Fournier gangrene: a rare case of necrotizing fasciitis of the entire right hemi-pelvis in a diabetic female. Oxf Med Case Reports. 2018;2018(2):omx094. doi: 10.1093/omcr/omx094
Details
| Primary Language | English |
|---|---|
| Subjects | General Surgery |
| Journal Section | Case Report |
| Authors | |
| Early Pub Date | January 7, 2024 |
| Publication Date | January 15, 2024 |
| Published in Issue | Year 2024 Volume: 7 Issue: 1 |
Interuniversity Board (UAK) Equivalency: Article published in Ulakbim TR Index journal [10 POINTS], and Article published in other (excuding 1a, b, c) international indexed journal (1d) [5 POINTS].
The Directories (indexes) and Platforms we are included in are at the bottom of the page.
Note: Our journal is not WOS indexed and therefore is not classified as Q.
You can download Council of Higher Education (CoHG) [Yüksek Öğretim Kurumu (YÖK)] Criteria) decisions about predatory/questionable journals and the author's clarification text and journal charge policy from your browser. https://dergipark.org.tr/tr/journal/2316/file/4905/show
The indexes of the journal are ULAKBİM TR Dizin, Index Copernicus, ICI World of Journals, DOAJ, Directory of Research Journals Indexing (DRJI), General Impact Factor, ASOS Index, WorldCat (OCLC), MIAR, EuroPub, OpenAIRE, Türkiye Citation Index, Türk Medline Index, InfoBase Index, Scilit, etc.
|
|
|
| |
|
|
|
|
The platforms of the journal are Google Scholar, CrossRef (DOI), ResearchBib, Open Access, COPE, ICMJE, NCBI, ORCID, Creative Commons, etc.
|
|
|
|
|
|
Our Journal using the DergiPark system indexed are;
Ulakbim TR Dizin, Index Copernicus, ICI World of Journals, Directory of Research Journals Indexing (DRJI), General Impact Factor, ASOS Index, OpenAIRE, MIAR, EuroPub, WorldCat (OCLC), DOAJ, Türkiye Citation Index, Türk Medline Index, InfoBase Index
Our Journal using the DergiPark system platforms are;
Journal articles are evaluated as "Double-Blind Peer Review".
Our journal has adopted the Open Access Policy and articles in JHSM are Open Access and fully comply with Open Access instructions. All articles in the system can be accessed and read without a journal user. https//dergipark.org.tr/tr/pub/jhsm/page/9535
Journal charge policy https://dergipark.org.tr/tr/pub/jhsm/page/10912
Editor List for 2022
Assoc. Prof. Alpaslan TANOĞLU (MD)
Prof. Aydın ÇİFCİ (MD)
Prof. İbrahim Celalaettin HAZNEDAROĞLU (MD)
Prof. Murat KEKİLLİ (MD)
Prof. Yavuz BEYAZIT (MD)
Prof. Ekrem ÜNAL (MD)
Prof. Ahmet EKEN (MD)
Assoc. Prof. Ercan YUVANÇ (MD)
Assoc. Prof. Bekir UÇAN (MD)
Assoc. Prof. Mehmet Sinan DAL (MD)
Our journal has been indexed in DOAJ as of May 18, 2020.
Our journal has been indexed in TR-Dizin as of March 12, 2021.
Articles published in the Journal of Health Sciences and Medicine have open access and are licensed under the Creative Commons CC BY-NC-ND 4.0 International License.