RT Journal Article
SR Electronic
T1 Fournier’s gangrene with retroperitoneal extension in an immunocompetent patient
JF BMJ Case Reports
JO BMJ Case Reports
FD BMJ Publishing Group Ltd
SP e250981
DO 10.1136/bcr-2022-250981
VO 16
IS 2
A1 Ashan Canagasingham
A1 Alfin Taddeo Okullo
A1 Mike He
A1 Simon McCredie
YR 2023
UL http://casereports.bmj.com/content/16/2/e250981.abstract
AB A male patient in his 80s presented with the classic signs of Fournier’s gangrene. At his initial debridement, an unusual florid involvement of the right cord was noted requiring a right inguinal orchidectomy in addition to extensive debridement. Although he subsequently stabilised in the intensive care unit, his inflammatory markers were noted to uptrend again requiring a relook procedure which revealed evidence of progressive necrosis in the right inguinal region. After further debridement, a CT scan of the abdomen and pelvis revealed intra-abdominal extension of the disease process with a retroperitoneal collection adjacent to the caecum—a rare complication of Fournier’s gangrene. This required open surgical drainage for adequate disease control. He subsequently underwent split skin grafting prior to discharge to a rehabilitation facility.