Author/Authors :
Mayir, Burhan Antalya Eğitim ve Araştırma Hastanesi - Genel Cerrahi Kliniği, Turkey , Uslu, Asım Antalya Eğitim ve Araştırma Hastanesi - Plastik ve Rekonstrüktif Cerrahi Kliniği, Turkey , Mayir, Yeliz Akpınar Antalya Eğitim ve Araştırma Hastanesi - Kadın Hastalıkları ve Doğum Kliniği, Turkey , Çakır, Tuğrul Antalya Eğitim ve Araştırma Hastanesi - Genel Cerrahi Kliniği, Turkey , Aslaner, Arif Antalya Eğitim ve Araştırma Hastanesi - Genel Cerrahi Kliniği, Turkey , Doğan, Uğur Antalya Eğitim ve Araştırma Hastanesi - Genel Cerrahi Kliniği, Turkey , Gündüz, Umut Rıza Antalya Eğitim ve Araştırma Hastanesi - Genel Cerrahi Kliniği, Turkey , Akpınar, Senem Antalya Eğitim ve Araştırma Hastanesi - Anesteziyoloji ve Reanimasyon Kliniği, Turkey
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
