Keywords
necrotizing fasciitis
emergency department
How to Cite
Abstract
Introduction: Fournier's gangrene (FG) is a well-known, often fatal fasciitis of the pelvic floor following anorectal, urologic, and gynecologic infections. Although it is rarely described as a complication of operative anal procedures, when it does occur, it can be devastating. Predisposing factors such as diabetes, alcoholism, immune defects, and consumptive diseases may be present.
Current literature only briefly mentions the potential risk of FG after such a standard surgical procedure. However, devastating complications occur more often than expected. This catastrophic complication without a predisposing factor is discussed along with a review of the literature.
The objective of this article is to provide updated and relevant information regarding the recognition, diagnosis, and management of FG, emphasizing the critical importance of early recognition and prompt treatment, from the general surgeon to the emergency department.
This article refers to two complicated cases of Fournier's gangrene. The patients, who were diagnosed with hemorrhoidal prolapse with rectal bleeding and accompanying anemia, underwent emergency surgical intervention. The cases were complicated by [specific complications or factors].
Conclusion: The gold standard for treatment was found to be a combination of surgical debridement, broad-spectrum antibiotics, and the administration of intravenous fluids. Further, patient survival was found to be directly related to the time from diagnosis to treatment when they underwent surgical debridement. The general surgeon's vigilance is crucial in recognizing this condition early and initiating appropriate management. They must be aware of risk factors, prognostic indicators, and proper treatment protocols to ensure the best outcomes for their patients.
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