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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. Harsh Sheth,
  2. Shilpa Ashutosh Rao,
  3. 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

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.

  • continence
  • infection control in hospital
  • wound care
  • medical-surgical nursing
  • general surgery

https://doi.org/10.1136/bcr-2017-222282

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    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.