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