Multidisciplinary approach for complicated Fournier gangrene
Journal Title: Ege Tıp Dergisi - Year 2016, Vol 55, Issue 2
Abstract
Fournier gangrene is an infectious disease originates from perineal and gluteal region spreading throughout the fascia. Life threatining results can be seen due to insufficient debridation or delay in treatment. A 23-year-old male patient admitted to hospital with an effusive lesion around gluteal and scrotal area which has a bad smelling. There was a color change at the left leg. He was in septic shock status. General condition of patient didn’t change after debridation of gluteal and scrotal region. Consideration of the lesion as Fournier gangrene, wide debridation from scrotum to toe secondary was performed and improvement was observed. Afterwards reconstructive approach was applied. Debridement of all lesions even if they are apart from Fournier gangrene area is essential and these patients should be treated with multidisciplinary approach including general surgery, anesthesiology and reanimation, urology, gynecology, plastic and reconstructive surgery specialists.
Authors and Affiliations
Burhan Mayir, Asım Uslu, Yeliz Akpınar Mayir, Tuğrul Çakır, Arif Aslaner, Uğur Doğan, Umut Rıza Gündüz, Senem Akpınar
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