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Scrotal necrosis and no Fournier’s in sight: a rare case of juvenile gangrenous vasculitis
  1. Jeremy Nettleton,
  2. Hugh Crawford-Smith,
  3. Anthony Adimonye and
  4. Faith McMeekin
  1. Department of Urology, Gloucestershire Hospitals NHS Foundation Trust, Cheltenham, UK
  1. Correspondence to Jeremy Nettleton, jeremy.nettleton{at}


Juvenile gangrenous vasculitis of the scrotum is a rare entity, of which to our knowledge we describe the first documented case in the UK. It follows a typical disease course, demonstrated by an 18-year-old male who presented with three necrotic scrotal lesions; proceeded by 3 days of fever, pharyngitis and lethargy. Previous cases have been managed successfully with systemic steroids. On this occasion, surgical debridement was made of the necrotic areas under antibiotic cover and complete resolution was achieved with excellent wound healing and no evidence of recurrence. This case report discusses the importance of disease recognition and the merits of surgical management. We also add to the debate as to whether this disease is a variation of pyoderma gangrenosum or a distinct entity itself within the pantheon of scrotal gangrene.

  • infections
  • urinary and genital tract disorders
  • urology
  • urological surgery
  • vasculitis

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  • Patient consent for publication Obtained.

  • Contributors Joint first authors: JN and HC-S contributed equally to this case report from the beginning by being joint operators on this patient through to the inception, research and write-up and as such are to be viewed as joint first authors. Other authors: AA provided support by revising it critically for important intellectual content. Other authors: FM conducted final approval of the version published and acted as supervising consultant in this case.

  • Funding The authors have not declared a specific grant for this research from any funding agency in the public, commercial or not-for-profit sectors.

  • Competing interests None declared.

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