1. Unusual foreign body in the sigmoid colon, chronic alcohol abuse, and Fournier gangrene: a case report.
- Author
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Schulz D, Mohor GS, and Solovan C
- Subjects
- Foreign-Body Migration complications, Foreign-Body Migration diagnosis, Fournier Gangrene diagnosis, Fournier Gangrene surgery, Humans, Male, Middle Aged, Prosthesis Failure adverse effects, Alcoholism complications, Colon, Sigmoid, Foreign-Body Migration etiology, Fournier Gangrene etiology, Stents adverse effects
- Abstract
Fournier gangrene (FG) is an infectious condition with fulminant evolution and is sometimes life-threatening. Here, we present the case of an immunocompromised 59-year-old male with surgical history of a pancreatic pseudocyst stented endoscopically. After unrecognized stent migration in the sigmoid without colonic perforation, he developed severe necrosis of the scrotum and perineum, which spontaneously perforated, presenting a smell suggesting moist gangrene. FG that has spread to the male genital organs presents therapeutic challenges. The purpose of our study is to present this case, typical for FG, with an educational aim both for the internal and surgical specialties, and the goal of further multidisciplinary collaboration for the optimal management of the patient with personalized treatment.
- Published
- 2015
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