Radiology Case Reports (Mar 2022)

A case report of Fournier's gangrene: Imaging ultrasound and computed tomography (CT) scan

  • Abdinasir Mohamed Elmi, MBBS,
  • Mahmut Kusbeci, MD,
  • Faisal Abdi Osoble Osman, MBBS

Journal volume & issue
Vol. 17, no. 3
pp. 959 – 962

Abstract

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Necrotizing fasciitis and/or Fournier's Gangrene is a rare, life-threatening soft tissue infection that, if not treated promptly, can immediately develop into systemic toxicity. It affects the genital, perineal, and perineal tissues, predominantly affecting men but can be seen in women. The diagnosis is often made clinically but radiologic examinations are helpful to determine the extent of the infection and can aid preoperative planning. Treatment consists of immediate and aggressive surgical debridement of necrotized tissue, broad-spectrum antibiotics, and early resuscitation. Here, we present a 56-year-old male patient with Fournier's gangrene and describe the physical examination, bedside sonographic, and computed tomography findings. These findings can aid in the evaluation of patients with worrying symptoms so that antibiotics can be administered immediately and specialists can be consulted as needed.

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