title: [Fournier's gangrene in non-resectable colorectal carcinoma].
abstract: Fournier's gangrene is a necrotizing fasciitis of the genitalia and perineum. Primary inflammatory focus is usually located in the genitourinary tract, skin or anorectum. The gangrene is caused by a mixed bacterial flora. The management is based on surgical debridement, drainage and antibiotics. Despite of adequate treatment mortality is approximately 20%. We present a case of 65 year-old male with a non-resectable rectal carcinoma who developed Fournier's gangrene after a palliative operation because of intestinal obstruction. Several excisions of the necrotic tissues were performed resulting in significant local improvement. The patient died of disseminated carcinoma a few weeks after the last debridement procedure.
authors.affiliation: Katedra i Klinika Chirurgii Ogólnej, Gastroenterologicznej i Zywienia AM w Warszawie.
authors.forename: Marek
authors.initials: M
authors.lastname: Wroński
authors.forename: Katarzyna
authors.initials: K
authors.lastname: Małyszka
authors.forename: Waldemar
authors.initials: W
authors.lastname: Pawłowski
mesh_terms: D000368:Aged; D003646:Debridement; D018934:Fournier Gangrene / Q000209:etiology* / Q000601:surgery*; D006801:Humans; D008297:Male; D009336:Necrosis; D010166:Palliative Care / Q000379:methods; D012004:Rectal Neoplasms / Q000150:complications* / Q000601:surgery; D012611:Scrotum / Q000473:pathology / Q000601:surgery