A case of Fournier’s gangrene after hydrocelectomy

Al–Ali, Badereddin Mohamad; Popper, Helmut; Pummer, Karl

doi:10.5173/ceju.2012.02.art9

Cited by 10 publications

(4 citation statements)

References 9 publications

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“…FG is a rare urologic emergency, and most published articles are case reports or case series that involve limited number of patients. [ 18 19 ] However, Sorensen et al . [ 20 ] in a population-based epidemiological review found that FG patients are rarely admitted to most American hospitals and have an incidence of 1.6/100,000 males, and this represented 0.02% of hospital admissions.…”

Section: Discussionmentioning

confidence: 99%

Pattern and outcome of management of Fournier's gangrene in a resource-constraint setting

et al. 2020

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Introduction: Fournier's gangrene (FG) is a necrotizing fasciitis of the external genitalia and perineum but may involve upper thigh and anterior abdominal wall. Patients and Methods: This is a retrospective study of 47 patients managed for FG at Usmanu Danfodiyo University Teaching Hospital from January 2001 to June 2017. Data were entered into a semi-structured pro forma and analyzed using SPSS version 20.0. Results: The mean age of the patients was 42.7 ± 19.4 years, with age range of 7 weeks to 72 years. All the patients were male. The patients had underlying urologic conditions in 27.6%, 15.0% were postoperative, 4.2% had anorectal diseases, 10.6% had medical conditions, and 42.6% were idiopathic. After resuscitation, all the patients had serial debridement, Hypertonic saline bath, broad spectrum antibiotics and wound dressing. The wound healed by secondary intention in 34.0% and 32.3% of the patients had wound closure ± skin graft. The treatment was successful in 68.0% of the patients, 15.0% left against medical advice, and 17.0% died of severe sepsis. Conclusion: FG mainly affects men with existing urologic conditions in our environment. Aggressive debridement, hypertonic saline sitz bath, broad-spectrum antibiotics, and appropriate wound care are associated with good outcome.

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Section: Discussionmentioning

confidence: 99%

Pattern and outcome of management of Fournier's gangrene in a resource-constraint setting

et al. 2020

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“…Other risk factors such as hemmorhoidectomy, hypospadias repair, treatment of urethral stricture by dilatation, infected hydrocele and colostomy have also been described to be associated with FG (Gurfinkel et al, 2005;Al-Ali et al, 2012;Tolga et al, 2014).…”

Section: Figure 2: Clinical Presentation Of Fournier' Gangrene Among Patients At Kcmcmentioning

confidence: 99%

Pattern of presentation and outcome of patients treated for Fournier’s gangrene at Kilimanjaro Christian Medical Centre in Moshi, Tanzania

Mabula

Nyongole

Mteta

2016

Tanzania J Hlth Res

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Background: Fournier’s gangrene (FG) is a rapidly progressive and potentially fatal infective necrotizing fasciitis which affects the perineal and perianal regions as well as the external genitalia. This study aimed at evaluating the management of FG and its outcomes at Kilimanjaro Christian Medical Centre (KCMC) in Moshi, TanzaniaMethods: This was a retrospective hospital based study involving case notes of all patients who had Fournier’s gangrene at KCMC from January 2003 to December 2013. Patients managed for Fournier’s gangrene and the medical records of the patients eligible for the study retrieved manually.Results: A total of 25case notes of patients treated for Fournier’s gangrene during the study period were reviewed. All were males and majority of them (60%) were ≥50 years (mean=57.4 years). Hypertension was the commonest reported risk factor (41%). Diabetes mellitus was reported as a risk factor in 20% of all patients with FG. These risk factors were mentioned as comorbid conditions in traumatic urethral catheterization and suprapubic catheterization. All patients received a combination treatment of wound debridement, antibiotics, fluid replacement, analgesics and daily wound dressing. The average hospital stay for patients with FG was about 25 days.Conclusion: Fournier’s gangrene at KCMC is exclusively a male disease affecting those above 50 years. Hypertension and diabetes mellitus were the common comorbid condition in patients with Fournier’s gangrene.

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“… 4 While common wound infections were described in this study, only one case report in the literature describes the phenomenon of FG following routine hydrocelectomy, highlighting the rarity of this complication in this routine outpatient surgery. 5 …”

Section: Discussionmentioning

confidence: 99%

A case of Fournier's gangrene following a large-volume hydrocelectomy in a diabetic patient managed with SGLT-2 inhibitor therapy

Vargo

Leone

Barat

et al. 2021

Urology Case Reports

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Dapagliflozin (Farxiga), is an SGLT-2 inhibitor commonly indicated for the treatment of diabetes mellitus type 2 (DM 2), heart failure, and chronic kidney disease. One rare side effect associated with SGLT-2 inhibitors is bacterial infection of the genitalia. There are several case reports highlighting the incidence of Fournier's gangrene (FG) in patients who take medications within this drug class. We report a case of FG in a diabetic patient on dapagliflozin who presented following scrotal hydrocelectomy for a large-volume hydrocele. The patient was urgently taken to the operating room for scrotal debridement and recovered well in the post-operative period.

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A case of Fournier’s gangrene after hydrocelectomy

Cited by 10 publications

References 9 publications

Pattern and outcome of management of Fournier's gangrene in a resource-constraint setting

Pattern and outcome of management of Fournier's gangrene in a resource-constraint setting

Pattern of presentation and outcome of patients treated for Fournier’s gangrene at Kilimanjaro Christian Medical Centre in Moshi, Tanzania

A case of Fournier's gangrene following a large-volume hydrocelectomy in a diabetic patient managed with SGLT-2 inhibitor therapy

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