A rare case of colonic perforation presenting as Fournier’s gangrene

Authors

  • Haraesh Maranna Department of Surgery, Maulana Azad Medical College and Associated Hospitals, New Delhi, India.
  • Pawan Lal Department of Surgery, Maulana Azad Medical College, New Delhi, India
  • Lovenish Bains Department of Surgery, Maulana Azad Medical College, New Delhi, India
  • Salil Yadav Department of Surgery, Maulana Azad Medical College, New Delhi, India
  • Rahul Bhatia Department of Surgery, Maulana Azad Medical College, New Delhi, India
  • M. Yasir Beg Department of Surgery, Maulana Azad Medical College, New Delhi, India
  • Pritesh Kumar Department of Surgery, Maulana Azad Medical College, New Delhi, India
  • Eva Wilse Momin Department of Surgery, Maulana Azad Medical College, New Delhi
  • Gaurav Kumar Department of Surgery, Maulana Azad Medical College, New Delhi, India

DOI:

https://doi.org/10.18203/2349-2902.isj20200317

Keywords:

Fournier gangrene, Inguinal hernia, Perforation, Peritonitis

Abstract

A 48-year-old obese gentleman with mild pain over abdomen for 10 days followed by pain and swelling in the right side of scrotum with skin discolouration for 2 days. Clinically necrotic patch with pus discharge was noted on the right side of scrotum. Extensive debridement over scrotum was done following which inflamed omentum and fecal contents were noticed from the inguinal canal. Patient underwent laparotomy and an ascending colonic perforation was found. A loop colostomy with partial omentectomy and inguinal hernia repair along with serial debridement of scrotal wound was done. Although uncommon, gastrointestinal perforations should be considered as a potential etiology in Fournier’s gangrene.

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Published

2020-01-27

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Section

Case Reports