Perforated Duodenum – An Unusual Etiology of Fournier's Disease: A Case Report

The Kaohsiung Journal of Medical Sciences - Tập 19 - Trang 635-637 - 2003
Yung-Chin Lee1, Wen-Jeng Wu1, Yii-Her Chou1, Chun-Hsiung Huang1
1Department of Urology, Kaohsiung Medical University, Kaohsiung, Taiwan

Tóm tắt

Fournier's disease, a form of necrotizing fasciitis, is a rapidly progressing subcutaneous infection of the male genitalia. We report a case of Fournier's disease with the unusual etiology of a perforated duodenum. This patient suffered from progressive right scrotal swelling after percutaneous transhepatic cholangeal drainage. Scrotal exploration revealed a large abscess with muscle necrosis that had spread up to the right retroperitoneal space. Radiologic studies and second abdominal exploration documented the origin as a perforated duodenum. The pus distribution in this case suggested that the infection process differed from that in previous reports. In future cases of Fournier's disease involving previous abdominal events, we recommend that abdominal origins be carefully surveyed before scrotal exploration.

Tài liệu tham khảo

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Thông tin xuất bản

The Kaohsiung Journal of Medical Sciences

Tập 19

635-637

Thông tin tác giả