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Volume 7
Issue 2
10.22543/7674.72.P261264
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Journal of Mind and Medical Sciences is published by MDPI from Volume 12 Issue 1 (2025). Previous articles were published by another publisher in Open Access under a CC-BY (or CC-BY-NC-ND) licence, and they are hosted by MDPI on mdpi.com as a courtesy and upon agreement with Valparaiso University (ValpoScholar).
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Case Report

Complex Reconstruction After Extreme Fournier’s Gangrene; A Case Report

by
Serban Dumitrache
1,3,*,
Leonida A. Goman
2,
Raluca Dutu
1,
Raluca Capatina
1,
Carmen Giuglea
1,3 and
Dan M. Enescu
3,4
1
Department of Plastic Surgery, St. John’s Clinical Emergency Hospital, Bucharest, Romania
2
Department of Urology, St. John’s Clinical Emergency Hospital, Bucharest, Romania
3
Carol Davila University of Medicine and Pharmacy, Bucharest, Romania
4
Department of Plastic Surgery and Burns Unit, Grigore Alexandrescu Children’s Hospital, Bucharest, Romania
*
Author to whom correspondence should be addressed.
J. Mind Med. Sci. 2020, 7(2), 261-264; https://doi.org/10.22543/7674.72.P261264
Submission received: 14 April 2020 / Revised: 2 July 2020 / Accepted: 2 July 2020 / Published: 29 September 2020

Abstract

In this article we present a severe case of Fournier's gangrene (FG) that affected a 64-year-old male patient, with no other known comorbidities. FG is a type of necrotizing fasciitis of the perineal and genital regions, that affects mostly males in the 5th–7th decades, with mortality rates that reach 70%. The infection usually advances through the superficial fascial layers of the perineum and abdomen and affects the skin. In our case the infection also affected the spermatic fasciae and advanced in the abdominal and pelvic cavities, abdominal muscles, and surrounding soft tissues. Subsequent debridement left the patient with large soft tissue and muscle defects and an open abdominal cavity that needed reconstruction. We designed two pedicled tensor fascia lata flaps with extra fascia for abdominal support. Healing was marked by a pseudomonas aeruginosa infection that led to skin graft sloughing and marginal wound breakdown, which was treated with antibiotics and local wound care. Eventually the wounds healed, and the patient left the hospital 11 weeks after admittance. The outcome of the case was good considering the initial extent of the infection. The cosmetic shortcomings were not shared by the patient and future scar corrections are planned.
Keywords: Fournier’s gangrene; reconstruction; plastic surgery Fournier’s gangrene; reconstruction; plastic surgery

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MDPI and ACS Style

Dumitrache, S.; Goman, L.A.; Dutu, R.; Capatina, R.; Giuglea, C.; Enescu, D.M. Complex Reconstruction After Extreme Fournier’s Gangrene; A Case Report. J. Mind Med. Sci. 2020, 7, 261-264. https://doi.org/10.22543/7674.72.P261264

AMA Style

Dumitrache S, Goman LA, Dutu R, Capatina R, Giuglea C, Enescu DM. Complex Reconstruction After Extreme Fournier’s Gangrene; A Case Report. Journal of Mind and Medical Sciences. 2020; 7(2):261-264. https://doi.org/10.22543/7674.72.P261264

Chicago/Turabian Style

Dumitrache, Serban, Leonida A. Goman, Raluca Dutu, Raluca Capatina, Carmen Giuglea, and Dan M. Enescu. 2020. "Complex Reconstruction After Extreme Fournier’s Gangrene; A Case Report" Journal of Mind and Medical Sciences 7, no. 2: 261-264. https://doi.org/10.22543/7674.72.P261264

APA Style

Dumitrache, S., Goman, L. A., Dutu, R., Capatina, R., Giuglea, C., & Enescu, D. M. (2020). Complex Reconstruction After Extreme Fournier’s Gangrene; A Case Report. Journal of Mind and Medical Sciences, 7(2), 261-264. https://doi.org/10.22543/7674.72.P261264

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