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Management of Fournier’s Gangrene: Case Report and Literature Review

Josip Katušić
Goran Štimac
Goran Benko
Igor Grubišić
Šoip Šoipi
Jordan Dimanovski


Puni tekst: engleski pdf 134 Kb

str. 453-457

preuzimanja: 1.279

citiraj


Sažetak

A 65-year-old man was referred to our department with clinical signs of septic shock and necrotizing soft tissue infection of the scrotal, perianal and right inguinal region. Initial presentation was a typical Fournier’s gangrene. Because of the life-threatening condition, the initial treatment was extensive removal of necrotic tissue. Antibiotic therapy was administered and several debridements of the wound were done afterwards. Three weeks after the initial treatment, wide wound defects of the perianal, scrotal and inguinal regions were closed secondarily and the patient was discharged from the hospital. Fournier’s gangrene is a surgical emergency. Although rare, it remains a life-threatening disease. Rapid and accurate diagnosis remains the key component in achieving successful outcome. Early aggressive surgical intervention together with fluid, hemodynamic and nutritional support and broad-spectrum antibiotics is the essential management to reduce mortality.

Ključne riječi

Fournier gangrene – diagnosis; Fournier gangrene – surgery; Fournier gangrene – therapy; Debridement; Emergencies; Acute disease; Case report

Hrčak ID:

84795

URI

https://hrcak.srce.hr/84795

Datum izdavanja:

20.12.2010.

Podaci na drugim jezicima: hrvatski

Posjeta: 2.527 *