Document Detail


Amputation of the penis and bilateral orchiectomy due to extensive debridement for Fournier's gangrene: case report and review of the literature.
MedLine Citation:
PMID:  22764465     Owner:  NLM     Status:  In-Process    
Abstract/OtherAbstract:
Fournier's gangrene is a rare disease with rapidly progressive necrotising fasciitis of the genital, perineal and perianal regions and is known to have an impact in the morbidity and the mortality. Despite antibiotics and aggressive debridement, mortality rate is still high. We present a 79-year-old man who was admitted to School of Medicine, Harran University, Sanliurfa, Turkey, with painful swelling of penoscrotal region. Perineal examination revealed the entire perineal skin to be gangrenous, necrotic and foul smelling. Despite the aggressive drainage and broad-spectrum antibiotic therapy, the gangrene progressed rapidly in hours and the patient's general condition worsened. Secondary extensive debridement including bilateral orchiectomy and amputation of the penis was performed. This disease may result in loss of organ such as testes and penis even with sufficient therapy.
Authors:
Halil Ciftci; Ayhan Verit; Halil Oncel; Adem Altunkol; Murat Savas; Ercan Yeni; Muharrem Bitiren; M Emin Guldur
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Publication Detail:
Type:  Journal Article    
Journal Detail:
Title:  JPMA. The Journal of the Pakistan Medical Association     Volume:  62     ISSN:  0030-9982     ISO Abbreviation:  J Pak Med Assoc     Publication Date:  2012 Mar 
Date Detail:
Created Date:  2012-07-05     Completed Date:  -     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  7501162     Medline TA:  J Pak Med Assoc     Country:  Pakistan    
Other Details:
Languages:  eng     Pagination:  280-2     Citation Subset:  IM    
Affiliation:
Department of Urology, School of Medicine, Harran University, Sanliurfa, Turkey.
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