Magnetic resonance imaging in the diagnosis of Fournier's gangrene

Kickuth, Ralph; Adams, Samuel B.; Kirchner, Johannes; Pastor, José María Cuadrado; Simon, Stephen D.; Liermann, D.

doi:10.1007/s003300000599

Cited by 30 publications

(14 citation statements)

References 7 publications

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“…It might extend rapidly along the Buck's fascia of the penis, dartos fascia of the scrotum, Colles' fascia of the perineum, and Scarpa's fascia of the anterior abdominal wall. Air localized in the subcutaneous tissues, marked thickening of the scrotal skin and fl uid accumulation could be identifi ed on US, CT and magnetic resonance imaging (MRI) [8,9] . US, CT and MRI are helpful in the early diagnosis of FG.…”

Section: Discussionmentioning

confidence: 99%

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Is Fournier’s Gangrene Severity Index Useful for Predicting Outcome of Fournier’s Gangrene?

Lin¹,

Yang²,

Chiu³

et al. 2005

Urol Int

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Objectives: Fournier’s gangrene (FG) is a rare but life-threatening disease. Although antibiotics and aggressive debridement have been broadly accepted as the standard treatment, the mortality rate remains high. We conducted a retrospective study to analyze the outcome and identify the risk factors and prognostic indicators. Methods: We retrospectively reviewed the medical records of 25 patients diagnosed with FG between July 1993 and August 2003. Data collected included age, predisposing factors, treatment modalities, length of hospital stay, surgical debridement times, and outcome. The FG severity index was used to predict outcome. Univariate analysis of the different prognostic factors was performed using t test and Fisher’s exact probability test. Results: All patients were male, 60% were diabetic, and the mean age was 55.8 years. The mean hospital stay was 20 days and the mortality rate was 32%. The mean age of 53.8 ± 18.3 (SD) years in the survival group (n = 17) was significantly lower than the 59.9 ± 10.2 years (n = 8) of the non-survival group (p < 0.05). Non-survival group patientshad lower serum hematocrit (mean 28.9, p = 0.019) and albumin (mean 1.93, p = 0.024) levels. In our series, the mean FG severity index for survivors was 4.41 ± 2.45 (range 2–9) compared to 12.75 ± 2.82 (range 9–18) for those who died (t test, p < 0.0001). Conclusion: The survival rate of younger patients with FG was higher. We agree that a FG severity index cutoff value of 9 is an excellent predictor of outcome.

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Section: Discussionmentioning

confidence: 99%

“…US, CT and MRI are helpful in the early diagnosis of FG. Kickuth et al [8] described that a combination of both US and MRI examinations benefi ted the early diagnosis of FG. However, CT and MRI are the most valuable tools in determining the cause and defi ning the extent of spread of FG prior to surgical excision and drainage [8,9] .…”

Section: Discussionmentioning

confidence: 99%

Is Fournier’s Gangrene Severity Index Useful for Predicting Outcome of Fournier’s Gangrene?

Lin¹,

Yang²,

Chiu³

et al. 2005

Urol Int

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“…Modern imaging techniques allow delineating the anatomy, to evaluate the extent of infection, and to detect eventual additional complications [21][22][23][24]. In most reports, US, CT and MRI were highly accurate for all these parameters.…”

Section: Epidemiological Clinical and Diagnostic Featuresmentioning

confidence: 99%

Necrotizing Fasciitis of the Perineum and the Abdominal Wall-Surgical Approach

Ecker¹,

Baars²,

Töpfer³

et al. 2008

Eur J Trauma Emerg Surg

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Necrotizing fasciitis is a synergistic aerobical-anaerobical infection that rapidly spreads from its origin leading to foudroyant increasing soft tissue gangrene and systemic sepsis. In the perineal, perianal and genital regions it is referred to as Fournier's gangrene constituting a clinical entity with the gangrene of the abdominal wall. After a short presentation of the own experience with 17 patients the surgical approach to the life-threatening disease is presented reviewing the former and the recent literature. There is a worldwide consensus that immediate radical excision of the gangrene should be accompanied by intensive care measures. Functional and cosmetic defects are to be reconstructed in a second stage. However, morbidity and mortality remain high in spite of consequent treatment due to often associated significant co-morbidity of affected patients.

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“…CT and MRI are also useful in the early diagnosis of FG aiming the presence of gas in the subcutaneous tissue, thickening of the scrotal wall and indemnity of testes and epididymides. These techniques can also report on the cause and are useful for delineating the extent of the process [10][11][12].…”

Section: Diagnosismentioning

confidence: 99%

Fournier’s Gangrene

2014

Emergency Medicine

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Magnetic resonance imaging in the diagnosis of Fournier's gangrene

Cited by 30 publications

References 7 publications

Is Fournier’s Gangrene Severity Index Useful for Predicting Outcome of Fournier’s Gangrene?

Is Fournier’s Gangrene Severity Index Useful for Predicting Outcome of Fournier’s Gangrene?

Necrotizing Fasciitis of the Perineum and the Abdominal Wall-Surgical Approach

Fournier’s Gangrene

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