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Unusual foreign body in the sigmoid colon, chronic alcohol abuse, and Fournier gangrene: a case report

Authors Schulz D, Mohor GS, Solovan C

Received 19 December 2014

Accepted for publication 3 February 2015

Published 31 March 2015 Volume 2015:10 Pages 673—677

DOI https://doi.org/10.2147/CIA.S79609

Checked for plagiarism Yes

Review by Single-blind

Peer reviewer comments 2

Editor who approved publication: Dr Richard Walker

Dietmar Schulz,1 Georgiana Simona Mohor,2 Caius Solovan2,3

1Sana Kliniken Leipziger Land, Klinik fur Urologie, Borna, Leipzig, Germany; 2University Clinic of Dermatology and Venereology, Timisoara, Romania; 3Department of Dermatology, Victor Babes University of Medicine and Pharmacy, Timisoara, Romania

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.

Keywords: pancreatic stent, wound debridement, vacuum-assisted closure, transplanted skin, necrotizing infection

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