Fournier's gangrene after missed acute perforated appendicitis: A case report

Abstract

Fournier's gangrene (FG) is a rare progressive necrotizing fasciitis (NF) with high mortality rate. This case report describes a young patient with FG with no known history of disease or invasive therapeutic interventions.

Necrotizing fasciitis of the back originating from a perforated appendicitis: A case report

“…Similar to other reported cases [8] , [16] , [17] , [18] , [19] , this patient with appendicitis presented with non-specific or atypical symptoms and had even potentially been cooled off with initial antibiotics. Early diagnosis may be difficult since necrotizing fasciitis often presents with mild erythema in the skin as with common cellulitis ( Figs.…”

“…Early diagnosis may be difficult since necrotizing fasciitis often presents with mild erythema in the skin as with common cellulitis ( Figs. 1 ) [15] , [18] . It spreads rapidly along fascial planes, resulting in overwhelming toxicity [6] , [17] , [19] , and devastating prognosis [8] , [19] .…”

“…They explain how infection may transgress the abdominal wall in an anatomical point of view, as in inguinal or femoral hernias [11] , [12] . However, despite its sporadic occurrence, necrotizing fasciitis in majority of the appendicitis cases, finds a way to reach the abdominal wall without a hernia [8] , [16] , [17] , [18] , [19] .…”

“…The mortality is very high, should necrotizing fasciitis occur [8] , [9] , [12] , [16] , [17] , [18] , [19] . Once diagnosis is done, there are no alternatives to immediate intervention, wide debridement of necrotic tissues, treatment of the underlying cause, and broad-spectrum antibiotics [6] .…”