Fournier's gangrene: A case of neglected symptoms with devastating physical loss

Praveen Singam, Khor Tze Wei, Ammar Ruffey, James Lee, Teh Guan Chou

Research output: Contribution to journalArticle

2 Citations (Scopus)

Abstract

Fournier's gangrene is a severe life-threatening infection involving the perianal area, perineum, and external genitalia. It demands prompt recognition, critical care therapy, surgical therapy, and a combination of antibiotics. The infection commonly spreads via the fascial planes and causes superficial vascular thrombosis within the Colles' fascia around the external genitalia. It can extend cephalad to involve the Scarpa's fascia and Camper's fascia in the abdominal wall. The treatment would include multiple debridements, which would result in disfiguring scars of the perineum and might lead to significant physical and psychological complications. We describe a case of a 58 year old man presenting with Fournier's gangrene resulting from an infection of an impacted urethral stone. The patient previously had obstructive voiding symptoms for 1 month but chose to neglect them. The resultant infection was severe and caused penile and right testicular gangrene. He underwent multiple wound debridements, which included a total penectomy and right orchiectomy. Psychological and rehabilitative support was necessary for him to overcome his loss and disfigurement.

Original languageEnglish
Pages (from-to)81-84
Number of pages4
JournalMalaysian Journal of Medical Sciences
Volume19
Issue number3
Publication statusPublished - Jul 2012

Fingerprint

Fournier Gangrene
Fascia
Perineum
Genitalia
Debridement
Infection
Psychology
Gangrene
Orchiectomy
Abdominal Wall
Critical Care
Cicatrix
Blood Vessels
Thrombosis
Therapeutics
Anti-Bacterial Agents
Wounds and Injuries

Keywords

  • Gangrene
  • Genitalia
  • Orchidectomy
  • Perineum
  • Psychology

ASJC Scopus subject areas

  • Medicine(all)

Cite this

Fournier's gangrene : A case of neglected symptoms with devastating physical loss. / Singam, Praveen; Wei, Khor Tze; Ruffey, Ammar; Lee, James; Chou, Teh Guan.

In: Malaysian Journal of Medical Sciences, Vol. 19, No. 3, 07.2012, p. 81-84.

Research output: Contribution to journalArticle

Singam, Praveen ; Wei, Khor Tze ; Ruffey, Ammar ; Lee, James ; Chou, Teh Guan. / Fournier's gangrene : A case of neglected symptoms with devastating physical loss. In: Malaysian Journal of Medical Sciences. 2012 ; Vol. 19, No. 3. pp. 81-84.
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