title: Unusual foreign body in the sigmoid colon, chronic alcohol abuse, and Fournier gangrene: a case report.
abstract: Fournier gangrene (FG) is an infectious condition with fulminant evolution and is sometimes life-threatening. Here, we present the case of an immunocompromised 59-year-old male with surgical history of a pancreatic pseudocyst stented endoscopically. After unrecognized stent migration in the sigmoid without colonic perforation, he developed severe necrosis of the scrotum and perineum, which spontaneously perforated, presenting a smell suggesting moist gangrene. FG that has spread to the male genital organs presents therapeutic challenges. The purpose of our study is to present this case, typical for FG, with an educational aim both for the internal and surgical specialties, and the goal of further multidisciplinary collaboration for the optimal management of the patient with personalized treatment.
authors: Sana Kliniken Leipziger Land, Klinik fur Urologie, Borna, Leipzig, Germany.
authors: Dietmar
authors: D
authors: Schulz
authors: University Clinic of Dermatology and Venereology, Timişoara, Romania.
authors: Georgiana Simona
authors: GS
authors: Mohor
authors: University Clinic of Dermatology and Venereology, Timişoara, Romania ; Department of Dermatology Victor Babeş University of Medicine and Pharmacy, Timişoara, Romania.
authors: Caius
authors: C
authors: Solovan
mesh_terms: D000437:Alcoholism / Q000150:complications*; D012809:Colon, Sigmoid; D005548:Foreign-Body Migration / Q000150:complications / Q000175:diagnosis / Q000209:etiology*; D018934:Fournier Gangrene / Q000175:diagnosis / Q000209:etiology* / Q000601:surgery; D006801:Humans; D008297:Male; D008875:Middle Aged; D011475:Prosthesis Failure / Q000009:adverse effects; D015607:Stents / Q000009:adverse effects*
keywords: necrotizing infection; pancreatic stent; transplanted skin; vacuum-assisted closure; wound debridement