ABSTRACT

Fournier’s gangrene is a necrotizing fasciitis of the perinea and genital areas. Scrotal Fournier’s gangrene, while being rare, is an urological emergency and requires urgent surgery. In this case report, we aimed to investigate a patient with Fournier’s Gangrene (FG), caused by a cut to scrotum.

Forty-four-year-old male patient with a history of type-1 diabetes mellitus for 16 years was taken to the Emergency Service of Trakya University Medical Faculty Hospital after the swelling and pain, following a cut to this scrotum while he was shaving his genital area. After 2 days of follow-up, Fournier’s Gangrene occurred in this patient.

Fournier’s Gangrene, if left untreated, may lead to morbidity, on a broad scale such as erectile dysfunction, loss of testicles, penile amputation or even sepsis and mortality. Treatment includes aggressive debridement, systemic broad-spectrum antibiotics, orchiectomy, skin reconstruction, alternatively hyperbaric oxygen therapy and honey application. Since it sudden occurance and severity, urgent intervention is required. In this case, with prompt intervention, the patient survived his sexual functions were preserved and with a skin graft an aesthetic appearance was also provided.

Keywords: Fournier’s Gangrene, scrotum, fasciitis, necrotising, urologic, emergency, debridement