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A Journal on Surgery
Indexed/Abstracted in: EMBASE, Scopus, Emerging Sources Citation Index
Chirurgia 2008 August;21(4):229-31
Fournier’s syndrome: our clinical experience
Soma P. F., Scrimali L., Verzì D., Virzì D., Scilletta A., Siragò P.
Department of Plastic Surgery Cannizzaro Hospital University of Catania, Catania, Italy
Fournier's gangrene is a rare, fulminant, though generally localized disease of the scrotum and penis with occasional spreading up the abdominal wall caused by invasive anorectal infection. Aerobic and anaerobic bacteraemia can lead to septic toxicity. We present the clinical experience of the Operative Unit of Plastic Surgery of Cannizzaro hospital of Catania, Italy from 2005 to 2007 in 8 cases. The age of the patients range from 61 to 80 years old with the medium age being 70,25 years. The clinical presentation of this pathology isn’t always specific.
On general physical examination the patients were febrile. Local examinations revealed blackish discolouration of the entire penile skin extending up to peno-scrotal junction without any clear line of demarcation in 4 patients, presence of necrosis and loss of substance on the scrotum in the other 4. Urgent multiple decompressing incisions were made through gangrenous penile skin and the inflammatory fluid was drained.
We prescribed to all patients the hyperbaric oxygen, that was initiated as soon as patients were stabilized after the initial debridement. The reconstruction was performed in 5 cases with a skin graft, and with local skin flap in 2 cases. In 7 cases the patients recovered while in 1 case the patient died of rectum cancer, due to severe general conditions.