A Rare Case of Fournier Gangrene after a Colostomy Closure

Introduction: Fournier gangrene is a surgical emergency that presents as necrotizing fasciitis. It mainly involved the genital and perineal regions. The predisposing factors are immunosuppression, diabetes mellitus, alcoholism, and surgical procedures. The underlying source of infection is usually r...

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Autores principales:	Abdolreza Mohammadi, Ali Tavoosian
Formato:	article
Lenguaje:	EN
Publicado:	Urology Research Center 2021
Materias:	fournier gangrene colostomy surgical debridement Diseases of the genitourinary system. Urology RC870-923
Acceso en línea:	https://doaj.org/article/803025c03c1548758ed1102381d15092
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spelling	oai:doaj.org-article:803025c03c1548758ed1102381d150922021-11-30T07:29:57ZA Rare Case of Fournier Gangrene after a Colostomy Closure10.22034/TRU.2021.293398.10722717-042Xhttps://doaj.org/article/803025c03c1548758ed1102381d150922021-07-01T00:00:00Zhttps://www.transresurology.com/article_132984.htmlhttps://doaj.org/toc/2717-042XIntroduction: Fournier gangrene is a surgical emergency that presents as necrotizing fasciitis. It mainly involved the genital and perineal regions. The predisposing factors are immunosuppression, diabetes mellitus, alcoholism, and surgical procedures. The underlying source of infection is usually recognizable in the anorectal and genitourinary systems. The physical exam may be misleading as findings in early evaluation is minimal compared to the exact spreading of infection. A high index of suspicion is needed for early diagnosis of this condition and management with broad-spectrum antibiotic therapy and prompt surgical debridement. Case presentation: In this case report, a case of Fournier gangrene that occurred after colostomy closure in a patient with a previous history of colostomy due to bowel obstruction was presented. Conclusions: The patient had extensive gas formation from chest to mid-thigh proximally and distally respectively but managed with surgical debridement and planned for future reconstructive surgery.Abdolreza MohammadiAli TavoosianUrology Research Centerarticlefournier gangrenecolostomysurgical debridementDiseases of the genitourinary system. UrologyRC870-923ENTranslational Research in Urology, Vol 3, Iss 2, Pp 81-83 (2021)
institution	DOAJ
collection	DOAJ
language	EN
topic	fournier gangrene colostomy surgical debridement Diseases of the genitourinary system. Urology RC870-923
spellingShingle	fournier gangrene colostomy surgical debridement Diseases of the genitourinary system. Urology RC870-923 Abdolreza Mohammadi Ali Tavoosian A Rare Case of Fournier Gangrene after a Colostomy Closure
description	Introduction: Fournier gangrene is a surgical emergency that presents as necrotizing fasciitis. It mainly involved the genital and perineal regions. The predisposing factors are immunosuppression, diabetes mellitus, alcoholism, and surgical procedures. The underlying source of infection is usually recognizable in the anorectal and genitourinary systems. The physical exam may be misleading as findings in early evaluation is minimal compared to the exact spreading of infection. A high index of suspicion is needed for early diagnosis of this condition and management with broad-spectrum antibiotic therapy and prompt surgical debridement. Case presentation: In this case report, a case of Fournier gangrene that occurred after colostomy closure in a patient with a previous history of colostomy due to bowel obstruction was presented. Conclusions: The patient had extensive gas formation from chest to mid-thigh proximally and distally respectively but managed with surgical debridement and planned for future reconstructive surgery.
format	article
author	Abdolreza Mohammadi Ali Tavoosian
author_facet	Abdolreza Mohammadi Ali Tavoosian
author_sort	Abdolreza Mohammadi
title	A Rare Case of Fournier Gangrene after a Colostomy Closure
title_short	A Rare Case of Fournier Gangrene after a Colostomy Closure
title_full	A Rare Case of Fournier Gangrene after a Colostomy Closure
title_fullStr	A Rare Case of Fournier Gangrene after a Colostomy Closure
title_full_unstemmed	A Rare Case of Fournier Gangrene after a Colostomy Closure
title_sort	rare case of fournier gangrene after a colostomy closure
publisher	Urology Research Center
publishDate	2021
url	https://doaj.org/article/803025c03c1548758ed1102381d15092
work_keys_str_mv	AT abdolrezamohammadi ararecaseoffourniergangreneafteracolostomyclosure AT alitavoosian ararecaseoffourniergangreneafteracolostomyclosure AT abdolrezamohammadi rarecaseoffourniergangreneafteracolostomyclosure AT alitavoosian rarecaseoffourniergangreneafteracolostomyclosure
_version_	1718406758557286400

A Rare Case of Fournier Gangrene after a Colostomy Closure

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