肛門周囲膿瘍より発症し広範に伸展したFournier's gangreneの1例

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We report a case of Fournier's gangrene occurring due to a perianal abscess and expanding widely. The patient was a 23-year-old male patient with diabetes mellitus. A perianal abscess was diagnosed by a local physician and excision and abscess drainage were performed. Because of the exacerbation of the symptoms, however, the patient was then referred to our hospital. Findings on admission were partial necrosis and draining abscess in the skin of the perianal site, scrotum, and perineum, and edema and swelling over the region from the left inguinal site to the left iliac site, indicating a wide range of inflammation. A diagnosis of Fournier's gangrene was made and emergency surgery was performed under general anesthesia. Wide-skin excision and abscess drainage were performed, along with debridement of necrotic tissue and fascia. The postoperative course was uneventful, and the open wound at the left iliac site was closed with sutures. In some cases with this disease, failure of other organs may occur secondary to sepsis and it may be difficult to save the patient's life. Thus, emergency diagnosis and surgery are required in this disease. Thorough drainage of the abscess and debridement at surgery with reference to the findings of preoperative CT were considered effective.
東京女子医科大学の論文