Multiple large infected scrotal sebaceous cysts masking Fournier's gangrene in a 32-year-old man.
Extensive large sebaceous cysts on the scotum are rare and present a problem only when infected or when cosmesis is deemed unacceptable by the patient. Fournier's gangrene is an infective condition with a high death rate. We describe a case of Fournier's gangrene in a patient masked by multiple large infected scrotal sebaceous cysts. A 32-year-old man with a history of alcohol dependency, cirrhosis and multiple scrotal sebaceous cysts presented with acute scrotal pain and erythema. Necrosis of the area became evident within 12 h of his admission and an emergency surgical debridement was performed. The wound was left open to heal via secondary intention over 4 weeks without complication. Fournier's gangrene is a rapidly progressive condition and early surgical debridement is crucial to achieve satisfactory outcomes. In this case, prompt intervention allowed a large scrotal defect to heal without the need for skin grafting.
Department of Urological Surgery, University Hospital Aintree, Liverpool, UK. william.angus@nhs.net
William
W
Angus
Rahul
R
Mistry
Michael S
MS
Floyd
Derek G
DG
Machin
D000328:Adult; D003937:Diagnosis, Differential; D018934:Fournier Gangrene / Q000150:complications* / Q000175:diagnosis; D005832:Genital Diseases, Male / Q000175:diagnosis / Q000209:etiology*; D006801:Humans; D008297:Male; D012611:Scrotum; D062685:Steatocystoma Multiplex / Q000175:diagnosis / Q000209:etiology*