Fournier's gangrene is a rare, life-threatening soft tissue infection that, if not treated promptly, can immediately develop into systemic toxicity. One of the deadliest surgical emergencies observed worldwide is Fournier's gangrene, FG predominantly affects men but can be seen in women. The condition's mortality and morbidity, have greatly decreased over time as a result of recent advancements in critical care medicine and surgical methods. Early diagnosis, examination of the risk and etiological variables, metabolic and physiological parameters, timely resuscitation, forceful surgical debridement, broad-spectrum antibiotic treatment, and ongoing monitoring of these parameters are necessary for a favorable outcome. This will reduce the condition's high death and morbidity rates. Two distinct examples of Fournier gangrene are described in this study. In this section, we have 2 FG cases. A young adult with FG who had no accompanying comorbidities was our first instance. He had necrotizing fasciitis, which starts in the perineum and spreads to the belly and chest, and it took him longer to heal. Despite this, he made a full recovery without suffering any serious post-operative morbidity. An elderly man patient who had no concomitant conditions was our second example. Our observations show that He made a full recovery without experiencing any significant post-operative morbidity.
| Published in | Journal of Surgery (Volume 11, Issue 1) |
| DOI | 10.11648/j.js.20231101.12 |
| Page(s) | 5-9 |
| Creative Commons |
This is an Open Access article, distributed under the terms of the Creative Commons Attribution 4.0 International License (http://creativecommons.org/licenses/by/4.0/), which permits unrestricted use, distribution and reproduction in any medium or format, provided the original work is properly cited. |
| Copyright |
Copyright © The Author(s), 2023. Published by Science Publishing Group |
Idiopathic, Fournier’s Gangrene, Reported Two Cases
| [1] | Short B. Fournier gangrene: an historical reappraisal. Intern Med J. 2018; 48 (9): 1157–1160. doi: 10.1111/imj.140312. |
| [2] | Grzybowski A, Short A. History of Fournier gangrene. Arch Dermatol. 2009; 145 (2): 182. doi: 10.1001/archdermatol.2008.595. |
| [3] | Fournier JA. Gangrene foudroyante de la verge. Semaine Médicale. 1883; 4: 589–597. |
| [4] | Fournier JA. Etude clinique de la gangrene foudroyante de la verge. Semaine Médicale. 1884; 4: 69–74. |
| [5] | Bauriene H. Sur une plaie qui s’est terminee par la sphacele de la scrotum. Journal de Médecine, Chirurgie, Pharmacie. 1764; 20: 251–256. |
| [6] | N. Eke, “Fournier’s gangrene: a review of 1726 cases,” British Journal of Surgery, vol. 87, no. 6, pp. 718–728, 200. |
| [7] | R. Adams Jr., J. A. Mata, D. D. Venable, D. J. Culkin, and J. A. Boschini, “Fournier’s gangrene in children,” Urology, vol. 35, no. 5, pp. 439–441, 1990. |
| [8] | G. Ekingen, T. Isken, H. Agir, S. ̈Oncel, and A. G ̈unlemez, “Fournier’s gangrene in childhood: a report of 3 infant patents,” Journal of Pediatric Surgery, vol. 43, no. 12, pp. e39–e42, 2008. |
| [9] | R. Czymek, P. Frank, S. Limmer et al., “Fournier’s gangrene: is the female gender a risk factor?” Langenbeck’s Archives of Surgery, vol. 395, no. 2, pp. 173–180, 2010. |
| [10] | R. Vick and C. C. Carson III, “Fournier’s disease,” Urologic Clinics of North America, vol. 26, no. 4, pp. 841–849, 1999. |
| [11] | Sorensen MD, Krieger JN. Fournier’s gangrene: epidemiology and outcomes in the general US population. Urol Int. 2016; 97 (3): 249–259. Doi: 10.1159/000445695. |
| [12] | 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 (11c): E1096–1100. doi: 10.1111/j.1464-410X.2012.11291.X. |
| [13] | Czymek R, Hildebrand P, Kleemann M, et al. New insights into the epidemiology and etiology of Fournier’s gangrene: a review of 33 patients. Infection. 2009; 37 (4): 306–312. |
| [14] | Mouës CM, Vos MC, Van den Bemd GJCM, Stijnen T, Hovius SER. Bacterial load in relation to vacuum-assisted closure wound therapy: a prospective randomized trial. Wound Repair and Regeneration. 2004; 12 (1): 11–17. |
| [15] | Black PC, Friedrich JB, Engrav LH, Wessells H. Meshed unexpanded split-thickness skin grafting for reconstruction of penile skin loss. Journal of Urology. 2004; 172 (3): 976–979. |
APA Style
Tewodros Kassahun Tarekegn, Solomon Endale Dagnachew, Frewengel Melake Weldeslassie, Rediet Habtu Lebelo, Bisrat Nigussie Alemayehu, et al. (2023). Idiopathic Fournier’s Gangrene: Report of 2 Cases. Journal of Surgery, 11(1), 5-9. https://doi.org/10.11648/j.js.20231101.12
ACS Style
Tewodros Kassahun Tarekegn; Solomon Endale Dagnachew; Frewengel Melake Weldeslassie; Rediet Habtu Lebelo; Bisrat Nigussie Alemayehu, et al. Idiopathic Fournier’s Gangrene: Report of 2 Cases. J. Surg. 2023, 11(1), 5-9. doi: 10.11648/j.js.20231101.12
AMA Style
Tewodros Kassahun Tarekegn, Solomon Endale Dagnachew, Frewengel Melake Weldeslassie, Rediet Habtu Lebelo, Bisrat Nigussie Alemayehu, et al. Idiopathic Fournier’s Gangrene: Report of 2 Cases. J Surg. 2023;11(1):5-9. doi: 10.11648/j.js.20231101.12
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Download@article{10.11648/j.js.20231101.12,
author = {Tewodros Kassahun Tarekegn and Solomon Endale Dagnachew and Frewengel Melake Weldeslassie and Rediet Habtu Lebelo and Bisrat Nigussie Alemayehu and Adey Gizachew Alemayehu},
title = {Idiopathic Fournier’s Gangrene: Report of 2 Cases},
journal = {Journal of Surgery},
volume = {11},
number = {1},
pages = {5-9},
doi = {10.11648/j.js.20231101.12},
url = {https://doi.org/10.11648/j.js.20231101.12},
eprint = {https://article.sciencepublishinggroup.com/pdf/10.11648.j.js.20231101.12},
abstract = {Fournier's gangrene is a rare, life-threatening soft tissue infection that, if not treated promptly, can immediately develop into systemic toxicity. One of the deadliest surgical emergencies observed worldwide is Fournier's gangrene, FG predominantly affects men but can be seen in women. The condition's mortality and morbidity, have greatly decreased over time as a result of recent advancements in critical care medicine and surgical methods. Early diagnosis, examination of the risk and etiological variables, metabolic and physiological parameters, timely resuscitation, forceful surgical debridement, broad-spectrum antibiotic treatment, and ongoing monitoring of these parameters are necessary for a favorable outcome. This will reduce the condition's high death and morbidity rates. Two distinct examples of Fournier gangrene are described in this study. In this section, we have 2 FG cases. A young adult with FG who had no accompanying comorbidities was our first instance. He had necrotizing fasciitis, which starts in the perineum and spreads to the belly and chest, and it took him longer to heal. Despite this, he made a full recovery without suffering any serious post-operative morbidity. An elderly man patient who had no concomitant conditions was our second example. Our observations show that He made a full recovery without experiencing any significant post-operative morbidity.},
year = {2023}
}
TY - JOUR T1 - Idiopathic Fournier’s Gangrene: Report of 2 Cases AU - Tewodros Kassahun Tarekegn AU - Solomon Endale Dagnachew AU - Frewengel Melake Weldeslassie AU - Rediet Habtu Lebelo AU - Bisrat Nigussie Alemayehu AU - Adey Gizachew Alemayehu Y1 - 2023/02/09 PY - 2023 N1 - https://doi.org/10.11648/j.js.20231101.12 DO - 10.11648/j.js.20231101.12 T2 - Journal of Surgery JF - Journal of Surgery JO - Journal of Surgery SP - 5 EP - 9 PB - Science Publishing Group SN - 2330-0930 UR - https://doi.org/10.11648/j.js.20231101.12 AB - Fournier's gangrene is a rare, life-threatening soft tissue infection that, if not treated promptly, can immediately develop into systemic toxicity. One of the deadliest surgical emergencies observed worldwide is Fournier's gangrene, FG predominantly affects men but can be seen in women. The condition's mortality and morbidity, have greatly decreased over time as a result of recent advancements in critical care medicine and surgical methods. Early diagnosis, examination of the risk and etiological variables, metabolic and physiological parameters, timely resuscitation, forceful surgical debridement, broad-spectrum antibiotic treatment, and ongoing monitoring of these parameters are necessary for a favorable outcome. This will reduce the condition's high death and morbidity rates. Two distinct examples of Fournier gangrene are described in this study. In this section, we have 2 FG cases. A young adult with FG who had no accompanying comorbidities was our first instance. He had necrotizing fasciitis, which starts in the perineum and spreads to the belly and chest, and it took him longer to heal. Despite this, he made a full recovery without suffering any serious post-operative morbidity. An elderly man patient who had no concomitant conditions was our second example. Our observations show that He made a full recovery without experiencing any significant post-operative morbidity. VL - 11 IS - 1 ER -
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