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Fournier's Gangrene: Report of a Case Associated with Paralytic and Mechanical Ileus throughout the Management of the Gangrene
Author(s) -
Maekawa Yoshihiro,
Nojiri Keiko,
Nogami Reiko
Publication year - 1993
Publication title -
the journal of dermatology
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.9
H-Index - 65
eISSN - 1346-8138
pISSN - 0385-2407
DOI - 10.1111/j.1346-8138.1993.tb01312.x
Subject(s) - medicine , gangrene , ileus , surgery , vomiting , fournier gangrene , abdominal pain , fascia , fasciitis , necrotising fasciitis
A 65‐year‐old Japanese male, who was treated for Fournier's gangrene, developed an enlarged erythema over the right thigh and right lower quadrant. The area was surgically debrided, and he was given antibiotics. However, he complained of abdominal swelling with a metallic bowel sound, pain, and vomiting and was then treated for paralytic ileus. Although his symptoms initially improved, he complained again of the same symptoms and underwent surgery for mechanical ileus occurring at the site of a surgical scar from an appendectomy 43 years earlier. This is a very rare case of Fournier's gangrene which caused mechanical ileus of the small intestine and adherence to a peritoneal scar after paralytic ileus due to inflammation of the abdominal fascia following scrotal gangrene.