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Case Reports in Emergency Medicine
Volume 2012 (2012), Article ID 984195, 4 pages
http://dx.doi.org/10.1155/2012/984195
Case Report

Fournier's Gangrene: Report of 2 Cases

Department of Surgery, Institute of Medical Sciences & SUM Hospital, SOA University, K-8, Kalinga Nagar, Orissa Bhubaneswar 751030, India

Received 22 August 2011; Accepted 26 September 2011

Academic Editors: D. Elkharrat, P. Iannone, and W. Mauritz

Copyright © 2012 Prasan Kumar Hota. This is an open access article distributed under the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.

Abstract

Fournier's gangrene is a very serious surgical emergency seen all over the world. With the newer advancement of surgical techniques and critical care medicine, the mortality and morbidity of this disease has come down significantly over a period of time. An early diagnosis including evaluation of predisposing and etiological factors, metabolic and physiological parameters with prompt resuscitation, aggressive surgical debridement, broad-spectrum antibiotic coverage, and continuous monitoring of all the parameters is essential for a good outcome, therefore reducing the high mortality and morbidity of this condition. In this study, we report 2 different cases of Fournier gangrene. Our first case was a young, nondiabetic, and without any multiorgan failure, who was managed successfully with good outcome. The second case was a 67-year-old man with diabetes and multiorgan dysfunction with extensive gangrene at presentation, who recovered well, but with a stormy postoperative period.