Fournier gangrene: pictorial review

Wongwaisayawan, Sirote; Krishna, Satheesh; Haroon, Mohammad; Nisha, Yashmin; Sheikh, Adnan

doi:10.1007/s00261-020-02549-9

Cited by 11 publications

(10 citation statements)

References 44 publications

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“…CT and US are usually the methods of choice performed with FG as they are widely available and serve as effective tools for the detection of soft tissue thickening or gas [ 11 , 13 , 18 ]. However, MRI remains superior to US and CT as it provides a higher soft tissue contrast, a more detailed evaluation of the disease’s extent, and the initial site of infection [ 6 , 11 , 13 , 18 , 19 ]. It may be even required if findings from other imaging modalities remain indecisive [ 11 , 13 ].…”

Section: Discussionmentioning

confidence: 99%

“…However, MRI remains superior to US and CT as it provides a higher soft tissue contrast, a more detailed evaluation of the disease’s extent, and the initial site of infection [ 6 , 11 , 13 , 18 , 19 ]. It may be even required if findings from other imaging modalities remain indecisive [ 11 , 13 ]. Detailed imaging, especially at the early stages of the disease with no or sparse symptoms, facilitates diagnosis and adequate surgical debridement, which may improve the outcome, prevent severe complications, and hinder a recurrence [ 5 , 9 , 13 ].…”

Section: Discussionmentioning

confidence: 99%

“…It may be even required if findings from other imaging modalities remain indecisive [ 11 , 13 ]. Detailed imaging, especially at the early stages of the disease with no or sparse symptoms, facilitates diagnosis and adequate surgical debridement, which may improve the outcome, prevent severe complications, and hinder a recurrence [ 5 , 9 , 13 ].…”

Section: Discussionmentioning

confidence: 99%

“…CT is a modality of choice in diagnostic imaging of FG, but there are cases where MRI should be preferred, especially in cases of FG combined with perianal fistula and abscess, because of its higher soft-tissue resolution and detailed assessment of the disease’s extent. US can be considered in the cases of patients who cannot be transported for CT/MRI scanning [ 6 , 12 , 13 ]. Therapy involves administration of broad-spectrum antibiotics and aggressive surgical debridement of necrotic tissues [ 14 ].…”

Section: Introductionmentioning

confidence: 99%

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Utility of Diagnostic Imaging in the Early Detection and Management of the Fournier Gangrene

et al. 2022

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Fournier gangrene represents a urologic emergency. It is a rapidly progressing necrotizing fasciitis that comprises the perineal, perianal, and genital regions and has a high mortality rate. Diagnosis is usually made clinically, but radiological diagnostics, such as ultrasound (US), computed tomography (CT), or magnetic resonance imaging (MRI), can determine the extent of the disease in relation to pelvic structures. Early and accurate diagnosis precipitates the initiation of the effective treatment and, thus, affects the outcome of the therapy. The article reports an illustrative case study of a patient with Fournier gangrene, secondary to a perianal fistula and perianal abscess with a massive accumulation of fluid around the anus and testicles, requiring unilateral orchidectomy. Rapid radiological diagnosis via MRI enabled precise assessment of the degree of the disease, early surgical intervention, and a successful outcome.

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Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

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Utility of Diagnostic Imaging in the Early Detection and Management of the Fournier Gangrene

et al. 2022

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“…This disease is usually caused by infections related to anorectal, genitourinary, perineal, and genital skin injuries. Synergistic necrotizing fasciitis with thrombosis of small subcutaneous arteries, a suppurative bacterial infection in the anorectal, perineal or genitourinary areas, and skin gangrene are the pathologies of Fournier's Gangrene [3] . The local infection quickly spreads to deep fascial layers, causing obliterative endarteritis, cutaneous and subcutaneous vascular thrombosis, and tissue necrosis due to the inflammatory reaction.…”

Section: Introductionmentioning

confidence: 99%

Management of Fournier’s Gangrene at postgraduate medical institute Sandeman provincial Hospital Quetta

Lehri¹,

Khan²,

Arbab³

et al. 2022

JUMDC

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BACKGROUND & OBJECTIVE: Fournier's Gangrene is a quick development of necrotizing, fulminant infection of the scrotum, perineum, and lower abdominal wall and can involve the groin. Synergic aerobic and anaerobic organisms can cause this disease. The aim of this study is to evaluate the causes, complications and optimal treatment of Fournier’s Gangrene. METHODOLOGY: A total of 150 patients were included. Fournier’s Gangrene was diagnosed clinically. Detailed clinical examination was performed, and the complications and modes of treatment were recorded. Calculation of descriptive statistics was done by the stratification and application of independent T-test and Chi-square test wherever applicable for post-stratification, considering p-value ≤0.05 as significant. RESULTS: The mean age was 31.74±6.24 years. The most common presenting complaint was the dusky appearance of the overlying skin. In the diabetic group, (66)44% had intense genital pain and tenderness, while in the non-diabetic group (72)48% observed a dusky appearance of the overlying skin and (37)24.7% had morbid obesity. No significant association was found between mortality of study groups, their age groups and their duration of hospital stay. CONCLUSION: Most common presenting complaint was the dusky appearance of the overlying skin. The anal abscess was the most common etiology, followed by a strangulated inguinal hernia. The mortality rate was 24%.

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Fournier's gangrene: Seven years of experience in the emergencies service of visceral surgery at Ibn Rochd University Hospital Center

Bensardi

Hajri

Sylvestre

et al. 2021

Annals of Medicine and Surgery

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Fournier gangrene: pictorial review

Cited by 11 publications

References 44 publications

Utility of Diagnostic Imaging in the Early Detection and Management of the Fournier Gangrene

Utility of Diagnostic Imaging in the Early Detection and Management of the Fournier Gangrene

Management of Fournier’s Gangrene at postgraduate medical institute Sandeman provincial Hospital Quetta

Fournier's gangrene: Seven years of experience in the emergencies service of visceral surgery at Ibn Rochd University Hospital Center

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