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Chirurgia 2012 February;25(1):27-30

Copyright © 2012 EDIZIONI MINERVA MEDICA

language: English

Necrotizing fasciitis of the perineum (Fournier’s gangrene) in a man with an abscess consequence of a recidivant perianal fistula

Antonino A., Coppola Bottazzi E., Guida F., Conte P., Masone S., Aprea G.

Department of General Surgery, Geriatris Oncology and Advanced Technology, University of Naples, Federico II, Naples, Italy


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We describe the case of necrotizing gangrene in a 52-year-old man, who came to our observation because of fever, pain and a wide phlegmonous lesion in the perianal region. The patient had a history of recurrent perianal fistula, previously treated surgically more times. We focalized our attention on eziopathogenetic hypothesis and on multimodality treatment, including: surgical debridement, antibiotics, and hyperbaric oxygen. Finally, we emphasize the role of an early diagnosis.

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