Diagnosis and treatment of Fournier's gangrene: two cases and literature review

ABSTRACT

Fournier's gangrene [FG] is a rapid progressive disease with high mortality and is caused by polymicrobial infection. FG usually begins with infection and affects fascias in [the perianal and] perineal regions as well as the abdominal wall and other organs. Although this disease has been recognized for many years, there are only a few cases reported in the world and few from China. Here, we report our success in the diagnosis and treatment of two cases of FG, one of which had severe necrotic sing fasciitis spreading to the abdominal wall, perianal, and perineal regions. We have discussed the pathogenesis, diagnosis, and treatment of FG