Open AccessAbdominoperineal Resection with Absorbable Mesh Repair of Perineal Defect for Fournier’s Gangrene: A Case Report
Author(s) -
J. Sinclair Holden,
Jasmir G. Nayak,
Colin Botkin,
Ramzi M. Helewa
Publication year - 2021
Publication title -
international medical case reports journal
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.198
H-Index - 11
ISSN - 1179-142X
DOI - 10.2147/imcrj.s295099
Subject(s) - medicine , surgery , gangrene , perineum , abdominoperineal resection , fournier gangrene , fasciitis , scrotum , colostomy , rectum , laparotomy , debridement (dental) , necrotising fasciitis , colorectal cancer , cancer
Fournier's gangrene (FG) is a rare but deadly form of necrotizing fasciitis involving the genital, perineal, and anorectal region. Risk factors include diabetes mellitus, immunosuppression, and alcohol misuse. Because multisystem organ failure can rapidly develop, early diagnosis is critical. Treatment includes fluid resuscitation, broad-spectrum antibiotics, and surgical debridement. Uncommonly, extension of perineal infection into adjacent organs can necessitate multivisceral resection, which can make reconstruction a challenge. Even with swift diagnosis and optimal treatment, morbidity and mortality are high.