[Testicular necrosis caused by Fournier's gangrene: an exceptional case]. / Necrosis testicular por gangrena de Fournier: un caso excepcional.

OBJECTIVE: To report an uncommon case of Fournier's gangrene caused by a perforated retrocecal acute appendicitis that compromised the scrotum and testis. METHODS: Herein we describe a patient that was admitted for abdominal pain localized to the right lower flank and generalized virulent sepsis. RESULTS: Resection of the right inguinal cord and testis was performed. The outcome was poor and the patient died of multiorgan failure. CONCLUSIONS: Fournier's gangrene basically arises from anorectal and urological pathologies, although occasionally it may arise from an intraabdominal source, which should be ruled out especially when the abdominal examination shows interesting findings.