Necrotizing fasciitis in the form of Fournier gangrene in a 70 year old patient

Nekrozantni fasciitis v obliki Fourniejeve gangrene pri 70 let starem pacientu

Authors

  • Nuhi Arslani University Medical Centre, Division of Surgery, Department of Abdominal and General Surgery , Univerzitetni klinični center Maribor, Klinika za kirurgijo, Oddelek za abdominalno in splošno kirurgijo Author
  • Timotej Mikuljan University Medical Centre, Division of Surgery, Department of Abdominal and General Surgery , Univerzitetni klinični center Maribor, Klinika za kirurgijo, Oddelek za abdominalno in splošno kirurgijo Author

DOI:

https://doi.org/10.18690/actabiomed.117

Keywords:

decompensated adhesive ileus, necrotizing fasciitis, necrectomy, exploratory laparotomy

Abstract

Purpose: In this case report, we describe a patient with Fournier gangrene, as well as his treatment
course and management.

Case report: A 70-year-old male was hospitalized for Fournier gangrene in the perianal region. We performed radical necrectomy, drainage of perianal abscess, and transversostomy. Based on wound culture results, Amoksiklav and Ciprobay were administered. The complication of decompensated adhesive ileus occurred, which required reoperative intervention.

Conclusion: Fournier gangrene is a rare disease that usually affects males. The disease begins with
swelling, cellulitis, fever, and odor. We successfully treated this disease with emergency surgery and reoperative intervention.

Author Biographies

  • Nuhi Arslani, University Medical Centre, Division of Surgery, Department of Abdominal and General Surgery, Univerzitetni klinični center Maribor, Klinika za kirurgijo, Oddelek za abdominalno in splošno kirurgijo

    Asist. dr., M.D., Maribor, Slovenia. E–mail: arslani.nuhi@gmail.com

  • Timotej Mikuljan, University Medical Centre, Division of Surgery, Department of Abdominal and General Surgery, Univerzitetni klinični center Maribor, Klinika za kirurgijo, Oddelek za abdominalno in splošno kirurgijo

    Maribor, Slovenia.

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Published

28.11.2021

Issue

Vol. 8 No. 1 (2015)

Section

Case report

License

Copyright (c) 2015 Acta Medico-Biotechnica

Creative Commons License

This work is licensed under a Creative Commons Attribution 4.0 International License.

How to Cite

Arslani, N., & Mikuljan, T. (2021). Necrotizing fasciitis in the form of Fournier gangrene in a 70 year old patient: Nekrozantni fasciitis v obliki Fourniejeve gangrene pri 70 let starem pacientu. Acta Medico-Biotechnica, 8(1), 55-58. https://doi.org/10.18690/actabiomed.117

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