PT  - JOURNAL ARTICLE
AU  - Daryl Subramaniam
AU  - Khalid Hureibi
AU  - Khawaja Zia
AU  - Mokthar Uheba
TI  - The development of Fournier's gangrene following rubber band ligation of haemorrhoids
AID  - 10.1136/bcr-2013-201474
DP  - 2013 Nov 28
TA  - BMJ Case Reports
PG  - bcr2013201474
VI  - 2013
4099  - http://casereports.bmj.com/content/2013/bcr-2013-201474.short
4100  - http://casereports.bmj.com/content/2013/bcr-2013-201474.full
AB  - The development of Fournier's gangrene in an 80-year-old male patient with diabetes after a routine outpatient haemorrhoid banding procedure is described. Four days following the procedure, the patient noticed an increasing amount of pain and swelling of the perianal region. When the patient presented to the emergency department 18 days later, immediate radical debridement of ischiorectal necrotic tissue was performed. A defunctioning loop sigmoid colostomy was also formed. Subsequent operations required excision of the scrotum and abdominoperineal excision of the rectum. Histology studies later confirmed the presence of necrotising fasciitis. The case acts as a reminder that clinicians should maintain a high index of suspicion for high-risk patients still suffering from problems following the procedure.