Necrotizing fasciitis in the form of Fournier gangrene in a 70 year old patient

Nekrozantni fasciitis v obliki Fourniejeve gangrene pri 70 let starem pacientu

  • Nuhi Arslani University Medical Centre, Division of Surgery, Department of Abdominal and General Surgery
  • Timotej Mikuljan University Medical Centre, Division of Surgery, Department of Abdominal and General Surgery
Keywords: decompensated adhesive ileus, necrotizing fasciitis, necrectomy, exploratory laparotomy

Abstract

Purpose: In this case report, we describe a patient with Fournier gangrene, as well as his treatment
course and management.

Case report: A 70-year-old male was hospitalized for Fournier gangrene in the perianal region. We performed radical necrectomy, drainage of perianal abscess, and transversostomy. Based on wound culture results, Amoksiklav and Ciprobay were administered. The complication of decompensated adhesive ileus occurred, which required reoperative intervention.

Conclusion: Fournier gangrene is a rare disease that usually affects males. The disease begins with
swelling, cellulitis, fever, and odor. We successfully treated this disease with emergency surgery and reoperative intervention.

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Author Biographies

Nuhi Arslani, University Medical Centre, Division of Surgery, Department of Abdominal and General Surgery

Asist. dr., M.D., Maribor, Slovenia. E–mail: arslani.nuhi@gmail.com

Timotej Mikuljan, University Medical Centre, Division of Surgery, Department of Abdominal and General Surgery

Maribor, Slovenia.

Published
2021-11-28
How to Cite
Arslani N., & Mikuljan T. (2021). Necrotizing fasciitis in the form of Fournier gangrene in a 70 year old patient. Acta Medico-Biotechnica, 8(1), 55-58. https://doi.org/10.18690/actabiomed.117
Section
Articles