Fournier’s Gangrene and its Characteristic Ultrasound Findings

Kim, Daniel; Kendall, John L.

doi:10.1016/j.jemermed.2012.01.015

Cited by 6 publications

(15 citation statements)

References 7 publications

Supporting

Mentioning

Contrasting

Unclassified

Order By: Relevance

“…Escherichia coli, Bacteroides, streptococcus, staphylococcus, clostridium, and klebsiella are the most common types of bacteria that cause Fournier's gangrene. 3 Bacteria tend to ascend from an external site of trauma near the scrotal or perineal area. [5][6][7] These organisms cause the formation of thrombi within blood vessels, which eventually leads to tissue ischemia and death.…”

Section: Discussionmentioning

confidence: 99%

“…Comparison images should also be used to visualize differences in scrotal wall thickening. 3,[14][15][16] Computed tomography is often the imaging modality of choice for Fournier's gangrene, usually after it is suspected clinically when symptoms like bullae and crepitus are noted. Asymmetric fascial thickening, fluid collections or abscess, fat stranding, and subcutaneous air can be demonstrated by CT. 4 Computed tomography also is helpful in surgical planning, as it may locate the source of infection and the extent of spread along the fascial planes.…”

Section: Discussionmentioning

confidence: 99%

“…1,2 The appearance of this disease process was first described by venereologist Jean Alfred Fournier in 1883. 3 Due to its rapid onset and spread, Fournier's gangrene is lethal without surgical debridement. Fournier's gangrene is usually diagnosed clinically, and imaging is used to support the diagnosis, assess the extent of the necrosis, and aid in surgical planning.…”

Section: Introductionmentioning

confidence: 99%

See 2 more Smart Citations

Sonographic Evaluation of Fournier’s Gangrene

Wampler

Bluedorn

Michael

2015

Journal of Diagnostic Medical Sonography

View full text Add to dashboard Cite

Fournier's gangrene is a rare type of necrotizing fasciitis specific to the superficial fascia and subcutaneous tissues of the external genitalia, perineum, perirectal, and ischiorectal regions. It is usually diagnosed clinically, and imaging is used to support the diagnosis, assess the extent of the necrosis, and aid in surgical planning. Computed tomography (CT) is the primary imaging modality to diagnose Fournier's gangrene, usually after symptoms are severe. Sonography may be used to diagnose early stages of this disease and to differentiate it from intrascrotal pathology or benign cellulitis. A case of Fournier's gangrene is presented that discusses sonographic findings of Fournier's gangrene and the disease process.

show abstract

Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

See 1 more Smart Citation

Sonographic Evaluation of Fournier’s Gangrene

Wampler

Bluedorn

Michael

2015

Journal of Diagnostic Medical Sonography

View full text Add to dashboard Cite

show abstract

“…Hyperechoic foci with reverberation artifact and 'dirty' shadowing represents gas in the soft tissue and is highly suggestive of Fournier's gangrene. 21 However, 10% of patients will not have subcutaneous emphysema. Furthermore, although an ultrasound may allow quick diagnosis and rapid definitive treatment, its success is operator dependent.…”

Section: Ultrasoundmentioning

confidence: 99%

The diagnosis and management of Fournier's gangrene

Brown

Coull

2019

Trends Urol & Men's Health

View full text Add to dashboard Cite

show abstract

“…ГФ протекает молниеносно и при отсутствии специализированной медицинской помощи, как правило, заканчивается летальным исходом [1,2,4]. Яички, придатки и семенные канатики крайне редко поражаются при этом заболевании в связи с тем, что имеют отдельное от мошонки кровообращение при ГФ [1,2,7]. Эта особенность ГФ имеет дифференциально-диагностическое значение, особенно на ранних стадиях заболевания.…”

unclassified

Experience of Fournier’s gangrene clinical diagnostics

Владимирович

2016

Kazan Med J

View full text Add to dashboard Cite

The article represents clinical cases review of rare and serious disease - Fournier’s gangrene. 3 patients with Fournier’s gangrene aged 53±13 years were followed up in Moscow City Clinical Urological Hospital №47 and City Clinical Hospital №57 in the period from 2005 to 2015. All patients with Fournier’s gangrene were admitted to the hospital with a different referral diagnoses: «acute epididymo-orchitis», «testicular abscess», «scrotal phlegmon». Standard clinical and laboratory tests, abdominal cavity and urogenital system plain radiography and ultrasound examination were performed. For genital organs ultrasound examination a high-resolution linear transducer (6-16 MHz) was used. Ultrasonography in the admission room allowed to exclude acute scrotal diseases in all patients, Fournier’s gangrene was diagnosed in 2 patients, and suspected in 1 patient. In all patients with Fournier’s gangrene ultrasound examination revealed marked thickening of testicular coats (more than 15 mm), the accumulation of a small amount of fluid between the testicular coats and in the tunica vaginalis cavity, testicular coats intense hypervascularization; normal blood flow and the unchanged structure of the testes and epididymis. Scrotal emphysema was detected by ultrasound examination in all patients, by the plain radiography and physical examination - in 2 patients. In all cases, ultrasound helped to clarify the cause of Fournier’s gangrene: to reveal anorectal abscesses, acute prostatovesiculitis and exclude acute epididymo-orchitis, scrotal phlegmon and testicular injury. As an illustration Fournier’s gangrene observation, which occurred as an anorectal abscess complication is presented. Ultrasonography allows to confirm the Fournier’s gangrene presumptive diagnosis (to reveal soft tissue of the penis and scrotum emphysema), make differential diagnosis of Fournier’s gangrene with other external genitalia and perianal area acute diseases, determine treatment strategy.

show abstract

Fournier’s Gangrene and its Characteristic Ultrasound Findings

Cited by 6 publications

References 7 publications

Sonographic Evaluation of Fournier’s Gangrene

Sonographic Evaluation of Fournier’s Gangrene

The diagnosis and management of Fournier's gangrene

Experience of Fournier’s gangrene clinical diagnostics

Contact Info

Product

Resources

About