Fournier’s gangrene

Prokhorov, A V

doi:10.17750/kmj2016-256

Cited by 2 publications

(2 citation statements)

References 6 publications

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“…The average age of patients is 50.9 years and the ratio of men to women is 10: 1 [3]. Seasonal fluctuations are not characteristic for the incidence of Fournier gangrene; endemic regions are not described.…”

Section: Epidemiological Situationmentioning

confidence: 94%

Fournier’s Gangrene: Literature Review and Clinical Cases

Chernyadyev¹,

et al. 2018

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Background: Fornier gangrene is an extremely rare disease of the genitals. This disease is a result of the urogenital tract, anorectal area, and genital skin infections, appearing usually in immunocompromised patients with diabetes, obesity, and malignant neoplasms. The basic treatment of Fournier gangrene includes an emergency surgical intervention combined with antibiotic therapy and detoxification. Methods: A review of recent papers comprising studies and reviews published in 2005–2016 was performed. The clinical cases were studied at the Department of Purulent Surgery Central Clinical Hospital No. 1, where 7 patients were diagnosed and treated. Results: The etiology, pathogenesis, clinical and laboratory presentation, diagnosis, treatment, and prognosis of Fournier gangrene are described in this article. The authors have described several clinical cases of patients with Fournier gangrene and with necrotic cellulitis and fasciomyositis of anterior abdominal wall, which is a manifestation of Fournier gangrene. Making allowance for the unfavorable epidemiological situation of syphilis in Russia, the increase in the incidence of complicated, atypical chancre, and therefore, the need for differentiation of Fournier gangrene with such manifestations of syphilis as necrotizing, esthiomenous chancre, indurative edema, the appropriate clinical examples are well explained in this article.

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Section: Epidemiological Situationmentioning

confidence: 94%

Fournier’s Gangrene: Literature Review and Clinical Cases

Chernyadyev¹,

et al. 2018

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“…[10] Inflammatory anal pathologies, malignant tumors of the sigmoid and rectum, perforated diverticulitis, rectal trauma, acute transverse appendicitis, and transanal procedures are thought to be contributing factors to the development of the pathology. [15] Chernyadyev SA et al [16] note that the cause of Fournier's gangrene can be established in 95% of cases; the disease usually occurs because of infectious processes of the urogenital tract, anorectal area, or skin of the genitals. Fournier gangrene develops commonly in immunocompromised patients with diabetes, obesity, and malignant neoplasms.…”

Section: Discussionmentioning

confidence: 99%

Fournier's gangrene in Patients Operated for Hemorrhoidal Prolapse in the Surgical Emergency Department.

Bollano

Lilaj

Thereska

et al. 2023

AJTES

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Fournier's gangrene (FG) is a well known often fatal fasziitis of the pelvic floor following ano-rectal, urologic and gynecologic infections. Although rarely it is described as a complication of operative anal procedures and predisposing factors such as diabetes, alcoholism, immune-defects and consumptive diseases. Current literature only briefly mentions the potential risk of FG after such a common surgical procedure. However, devastating complications occur more often than expected. This catastrophic complication without a predisposing factor is discussed along with a review of the literature. The objective of this article is to provide updated and relevant information regarding the recognition, diagnosis and management of FG, from the general surgeon to the emergency department. This article refers to two complicated cases of Fournier's gangrene. The patients underwent emergency surgical intervention with the diagnosis of hemorrhoidal prolapse with rectal bleeding and accompanying anemia… Conclusion; The gold standard for treatment was found to be a combination of surgical debridement, broad-spectrum antibiotics, and the administration of intravenous fluids. Further, patient survival was found to be directly related to the time from diagnosis to treatment when they underwent surgical debridement. The General surgeon must be vigilant for this condition and be aware of risk factors, prognostic indicators, and proper treatment protocols to recognize FG early and initiate appropriate management.

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Fournier’s gangrene

Cited by 2 publications

References 6 publications

Fournier’s Gangrene: Literature Review and Clinical Cases

Fournier’s Gangrene: Literature Review and Clinical Cases

Fournier's gangrene in Patients Operated for Hemorrhoidal Prolapse in the Surgical Emergency Department.

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