広範囲に拡大したFournier's gangreneの1例

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  • A CASE OF WIDELY SPREADING FOURNITER'S GANGRENE

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We experienced a case of widely spreading Fournier's gangrene. A 54-year-old man was transferred to the hospital in a state of pre-shock after unsuccessful incisional drainages performed at two another hospitals to where he was admitted because of anal pain. Computed tomography (CT) revealed a widespread low density area, from perineal lesion and right scrotum to right upper leg. The patient was diagnosed as having Fournier's gangrene and immediately further wide drainage operation and colostomy were carried out. After the 3rd drainge operation the patient developed DIC and ARDS, but his life was saved by intensive care. Skin grafting surgical wound dried. The patient was dischaged from the hospitl.<br> Over 400 cases of Fournier's gangrene have been reported in the European & American literature, but the disease is relatively rare in Japan. In addition, there are few reports that the disease widely spreaded like this case. This case is presented with some notes on the relevant literature.

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