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BMJ Case Reports 2017; doi:10.1136/bcr-2017-222282
  • Novel treatment (new drug/intervention; established drug/procedure in new situation)
  • CASE REPORT

Contemporary non-surgical approach for faecal diversion in a case of Fournier’s gangrene

  1. Karthik Venkataramani
  1. Department of General Surgery, Seth GS Medical College and KEM Hospital, Mumbai, India
  1. Correspondence to Dr Harsh Sheth, harsh86sheth{at}gmail.com
  • Accepted 5 December 2017
  • Published 22 December 2017

Summary

Fournier’s gangrene is a fatal necrotising fasciitis of the perineum, genitals and lower abdomen. Patients often need an aggressive surgical debridement, and in few cases, a diverting colostomy. We report the case of a 70-year-old man with multiple comorbidities diagnosed with Fournier’s gangrene, who underwent debridement and had a wound complication due to faecal contamination. A novel, self-retaining rectal device was used to perform faecal diversion, which subsequently showed wound healing within a week, hence avoiding the need of a colostomy.

Footnotes

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  • Contributors HS: involved with planning the study, patient care, taking a written informed consent, device insertion, gathering data, analysing the data and writing the case study. SAR: involved with planning of the case study, overseeing patient care, written informed consent, gathering data, analysing the data and writing the case study. KV: involved with patient care, patient follow-up, gathering data, data analysis and writing the case study.

  • Competing interests None declared.

  • Patient consent Obtained.

  • Provenance and peer review Not commissioned; externally peer reviewed.

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