CASE REPORTS   

Chirurgia 2008 October;21(5):307-9

Copyright © 2008 EDIZIONI MINERVA MEDICA

language: Italian

Fournier’s gangrene of genitalia: case report

Falcone G. ¹, Iatrino G. ¹, Romano M. ¹, Buscemi G. ²

¹ Unità Operativa di Chirurgia Generale, dell’Uremico e dei Trapianti d’Organo Azienda Ospedaliera Universitaria Policlinico “Paolo Giaccone”, Palermo, Italia 2 U.O. di Chirurgia degli Accessi Vascolari nel Paziente Uremico Azienda Ospedaliera Universitaria Policlinico “Paolo Giaccone”, Palermo, Italia

Fournier’s disease is an acute pathologic process of cellulitis and necrotising fascitis involving the male genitals with a mortality of 30-50%. The main causes are periurethral and perirectal infections, immunodepressive syndromes, diabetes mellitus and traumas. Mixed types of infections involve aerobic and anaerobic germs, the latter being responsible for necrosis of the subcutaneous tissue. Therapy is synergic and multi-disciplinary, antibiotic with radical and reconstructive surgery. The Authors report a case of Fournier’s gangrene. The discuss about various type of necrotising diseases; the different etiological agents. Spreading ways of infection through extermal genitalia, anatomical structures of perineal scrotal region wich are responsible of spreading infection through fixed ways.