Perforated diverticulitis leading to Fournier’s gangrene

Authors

  • Henry K. Watter Hervey Bay Hospital, Hervey Bay, Queensland, Australia http://orcid.org/0000-0002-8311-6812
  • Ho Nam Choi Hervey Bay Hospital, Hervey Bay, Queensland, Australia
  • Suresh Munugani Hervey Bay Hospital, Hervey Bay, Queensland, Australia

DOI:

https://doi.org/10.18203/2349-2902.isj20222948

Keywords:

Diverticulitis, Fournier's gangrene, Necrotising fasciitis, Surgery, Debridement

Abstract

Perforated diverticulitis is a rare cause of Fournier’s gangrene. Management for these conditions separately is well established, however no clear guidelines exist for operative management when they present in combination. This case provides a suggested management approach for managing the two conditions concurrently, in a peripheral hospital.

References

Klarenbeek BR, De Korte N, Van der Peet DL, Cuesta MA. Review of current classifications for diverticular disease and a translation into clinical practice. Int J Colorectal Dis. 2012;27:207-14.

Tang LM, Su YJ, Lai YC. The evaluation of microbiology and prognosis of Fournier's gangrene in past five years. Springerplus. 2015;4:14.

Tenório CEL, Lima SVC, Albuquerque AV, Cavalcanti MP, Teles F. Risk factors for mortality in Fournier's gangrene in a general hospital: use of simplified founier gangrene severe index score (SFGSI). Int Braz J Urol. 2018;44:95-101.

Oguz A, Gümüş M, Turkoglu A, Bozdağ Z, Ülger BV, Agaçayak E, Böyük A. Fournier's Gangrene: A Summary of 10 Years of Clinical Experience. Int Surg. 2015;100:934-41.

Neeki MM, Dong F, Au C, Toy J, Khoshab N, Lee C et al. Evaluating the Laboratory Risk Indicator to Differentiate Cellulitis from Necrotizing Fasciitis in the Emergency Department. West J Emerg Med. 2017;18:684-9.

Chernyadyev SA, Ufimtseva MA, Vishnevskaya IF. Fournier's Gangrene: Literature Review and Clinical Cases. Urol Int. 2018;101:91-7.

Parkin CJ, Acland G, Ilie V, Clayton S, Merei J, Latif E. Sigmoid diverticulitis leading to Fournier's gangrene. ANZ J Surg. 2021;91:E123-5.

Kearney DE, Harney S, O'Broin E, McCourt M. An unusual presentation of Fournier's gangrene. Ir J Med Sci. 2011;180:573-4.

Kumar D, Cortés-Penfield NW, El-Haddad H, Musher DM. Bowel Perforation Resulting in Necrotizing Soft-Tissue Infection of the Abdomen, Flank, and Lower Extremities. Surg Infect (Larchmt). 2018;19:467-472.

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Published

2022-10-29

Issue

Section

Case Reports