Author/Authors :
Danesh, Hosein Ali Department of General Surgery - Zahedan University of Medical Sciences, Zahedan, Iran , Saboury, Mahdy Department of General Surgery - Zahedan University of Medical Sciences, Zahedan, Iran , Sabzi, Ameneh Department of General Surgery - Zahedan University of Medical Sciences, Zahedan, Iran , Saboury, Moosa Department of General Surgery - Zahedan University of Medical Sciences, Zahedan, Iran , Jafary, Maryamsadat Faculty of Medicine Zahedan University of Medical Sciences, Zahedan, Iran , Saboury, Shahriar Faculty of Medicine Shiraz University of Medical Sciences, Shiraz, Iran
Abstract :
Background: Fourniers gangrene caused by synergic aerobic and anaerobic organism is a life threatening disorder.
Methods: The medical records of 8 among 839 patients admitted to imam ali general hospital Zahedan university
of Medical Sciences with fourniers gangrene during the 10 months period between 2012 and 2013 were
reviewed.
Results: The most common etiology and presentation were abscess and perianal pain respectively. Mixed bacterial
flora was common finding in patient. Single debridement was carried out in 2 patients and repeated procedure
was needed in 6.
Conclusion: This disease is characterized with high mortality of up to 75% but in our study the rate was
37.5%. In other studies diabetes mellitus was found to be the common condition related to fourniers gangrene
but in our study the common etiology was perianal abscess. Fourniers gangrene should be rule out in any patient
with perianal pain and flulike, swelling skin.
