Article Text

Download PDFPDF
Case report
Unusual cause of Fournier’s gangrene: colorectal-genitourinary tract fistulae status post brachytherapy
  1. Nabil Saleem,
  2. William J Devan,
  3. Daniel R Pitts and
  4. Graham T VerLee
  1. Department of Urology, Maine Medical Center, Portland, Maine, USA
  1. Correspondence to Dr William J Devan; billydevan{at}


There are few reports of radiation associated colorectal–genitourinary tract (CRGU) fistulae causing Fournier’s gangrene (FG). We describe a case of FG in a patient with possibly two CRGU fistulae in the context of previous high-dose brachytherapy and external beam radiation therapy for prostate cancer. Unfortunately, CRGU fistulae are not well classified as significant risk factors for the development of FG. Our case demonstrates the rationale for maintaining a broad differential in patients presenting with recurrent urinary tract symptoms or necrotising soft tissue infections to include undiagnosed fistulae.

  • urology
  • surgery
  • infectious diseases
  • urinary tract infections
  • urological surgery

Statistics from

Request Permissions

If you wish to reuse any or all of this article please use the link below which will take you to the Copyright Clearance Center’s RightsLink service. You will be able to get a quick price and instant permission to reuse the content in many different ways.


  • Contributors NS: wrote the bulk of the manuscript, primary author. WJD: extensive editor of the manuscript, involved in patient care. DRP: extensive editor of the manuscript, involved in patient care. GTV: attending surgeon involved in the majority of operations for this patient. Also contributed with editing of the paper.

  • 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.

  • Patient consent for publication Obtained.

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