Scrotal emphysema with characteristics of Fournier's gangrene in a community setting

Bryson P Cook; Christopher Verdone; Daniel Ricchiuti

doi:10.1016/j.eucr.2020.101345

Scrotal emphysema with characteristics of Fournier's gangrene in a community setting

Urol Case Rep. 2020 Jul 15:33:101345. doi: 10.1016/j.eucr.2020.101345. eCollection 2020 Nov.

Authors

Bryson P Cook¹, Christopher Verdone^{1

2}, Daniel Ricchiuti^{1

2

3}

Affiliations

¹ Northeast Ohio Medical University (NEOMED) School of Medicine, 4209 OH-44, Rootstown, OH, 44272, USA.
² St. Elizabeth Youngstown Hospital, 1044 Belmont Ave, Youngstown, OH, 44501, USA.
³ Northeast Ohio Urology Associates, Inc, 7430 Southern Blvd, Boardman, OH, 44512, USA.

Abstract

Fournier's gangrene is a life-threatening type of necrotizing fasciitis associated with a high rate of morbidity and mortality. The patient is a 29-year-old incarcerated male who presented to the ED with left-sided scrotal crepitus extending into the axilla and testicular swelling. The patient endorsed a pimple on his left scrotum accompanied with groin pain. He had a prior history of foreign body removal and self-mutilating behaviors. The patient was taken for surgical exploration out of concern due to a subcutaneous emphysema secondary to a necrotizing soft tissue infection.

Keywords: Fournier's gangrene; Scrotal emphysema.

Publication types

Case Reports