Fournier's Gangrene

Q: Which gender is more to get Fournier gangrene? (select one) 

A) Males 

B) Females 

 Answer: A 

Necrotizing fasciitis of the perineum is called Fournier gangrene. It is vital to know that Fournier gangrene occurs when there is a breach in the integrity of the gastrointestinal (GI) or genital-urethral (GU) mucosa. This basic understanding is essential to comprehend the urgency and polymicrobial nature of the disease. 

This breach in the mucosa of GI or GU symptomatically begins abruptly with severe pain, usually rapidly reaching the anterior abdominal wall and gluteal muscles. This classic presentation makes life easier for clinicians to keep a low threshold to involve surgical service way early in the process. Men are more commonly affected with scrotal and penile involvement. 

#ID 

#surgical-critical-care

 References: 

 1. Singh A, Ahmed K, Aydin A, Khan MS, Dasgupta P. Fournier's gangrene. A clinical review. Arch Ital Urol Androl. 2016 Oct 5;88(3):157-164. doi: 10.4081/aiua.2016.3.157. PMID: 27711086. 

 2. Stephens BJ, Lathrop JC, Rice WT, Gruenberg JC. Fournier's gangrene: historic (1764-1978) versus contemporary (1979-1988) differences in etiology and clinical importance. Am Surg 1993; 59:149. 

 3. Huayllani MT, Cheema AS, McGuire MJ, Janis JE. Practical Review of the Current Management of Fournier's Gangrene. Plast Reconstr Surg Glob Open. 2022 Mar 14;10(3):e4191. doi: 10.1097/GOX.0000000000004191. PMID: 35295879; PMCID: PMC8920302.