ABSTRACT
Fournier's gangrene is a necrotizing fasciitis of the genitalia and perineum. Primary inflammatory focus is usually located in the genitourinary tract, skin or anorectum. The gangrene is caused by a mixed bacterial flora. The management is based on surgical debridement, drainage and antibiotics. Despite of adequate treatment mortality is approximately 20%. We present a case of 65 year-old male with a non-resectable rectal carcinoma who developed Fournier's gangrene after a palliative operation because of intestinal obstruction. Several excisions of the necrotic tissues were performed resulting in significant local improvement. The patient died of disseminated carcinoma a few weeks after the last debridement procedure.
Subject(s)
Fournier Gangrene/etiology , Fournier Gangrene/surgery , Rectal Neoplasms/complications , Aged , Debridement , Humans , Male , Necrosis , Palliative Care/methods , Rectal Neoplasms/surgery , Scrotum/pathology , Scrotum/surgeryABSTRACT
This is a case report of a testicular tumor, probably seminoma, presenting a retroperitoneal mass. The patient underwent surgical removal of tumor and the possibility of testicular tumor on the basis of histological examination was assumed. However, the histological examination of the testicle did not confirm the diagnosis of seminoma. The patient did not give consent for adjuvant chemotherapy. He has been remaining under clinical follow-up.
