Abstract:
An uncommon case of Fournier\'s gangrene following hydrocelectomy is described. A 78-year-old male with no remarkable previous history, who underwent hydrocelectomy in another hospital, developed Fournier\'s gangrene 15 days later. The patient required wide aggressive surgical debridement, hyperbaric oxygen chamber and broad-spectrum antibiotic coverage. Afterwards the patient was referred for plastic surgery. Fournier\'s gangrene is a polymicrobial infection of perineoscrotal region that manifests as a rapidly progressive necrotizing fasciitis. Fournier\'s gangrene following hydrocelectomy is uncommon. The morbidity and mortality in this severe complication depend on early diagnosis and aggressive surgical management.
摘要:
描述了一个罕见的Fournier坏疽病例。一名78岁的男性,以前没有明显的病史,他在另一家医院接受了水切除术,15天后出现Fournier坏疽.患者需要广泛的积极手术清创术,高压氧舱和广谱抗生素覆盖。之后,患者被转介进行整形手术。Fournier坏疽是一种多微生物感染,表现为快速进行性坏死性筋膜炎。Fournier的坏疽术后行子宫内膜切除术并不常见。这种严重并发症的发病率和死亡率取决于早期诊断和积极的手术治疗。