A Case of Widespread Fournier Gangrene Caused by Penetration of Progressive Rectal Cancer in Which Debridement and Leg Amputation Improved the General Status

Onishi Toshio, Ueda Nobuhiko, Miura Seiko, Kaida Daisuke, Kosaka Takeo

doi:10.11231/jaem.40.601

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Other Title

進行直腸癌穿通に起因する広範なフルニエ症候群症例においてデブリードマンと下肢切断が全身状態改善に有効であった1例
シンコウチョクチョウガンセンツウニキインスルコウハンナフルニエショウコウグンショウレイニオイテデブリードマントカシセツダンガゼンシンジョウタイカイゼンニユウコウデアッタ 1レイ

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<p>Fournier gangrene commonly occurs as a complication of anal fistula, perianal abscess, and urological diseases, and there are few reports of patients developing Fournier gangrene as a complication of rectal cancer. Herein, we report a case of Fournier gangrene encountered by us that was caused by penetrating throughout rectal cancer. The patient was a 70s male who visited a nearby hospital with a history of fever and right lower abdominal pain. He was diagnosed by abdominal CT as having penetrating rectal cancer, and colostomy was performed. The patient was subsequently referred to our hospital due to insufficient improvement of the inflammation. He was diagnosed as having Fournier gangrene caused by penetrating rectal cancer, and urgent debridement was performed. After repeated cleaning and debridement, the inflammatory reaction improved. Due to severe leakage of albumin from the site of debridement, leg amputation was necessary to secure hemodynamic stability. Systemic chemotherapy was administered for pulmonary metastasis that had been diagnosed before the surgery, but the patient died 8 months after the surgery.</p>

Journal

Nihon Fukubu Kyukyu Igakkai Zasshi (Journal of Abdominal Emergency Medicine)

Nihon Fukubu Kyukyu Igakkai Zasshi (Journal of Abdominal Emergency Medicine) 40 (4), 601-604, 2020-05-31

Japanese Society for Abdominal Emergency Medicine

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