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2025, Vol. 7, Issue 2, Part C
Fournier’s gangrene as the unveiling manifestation of occult perforated diverticulitis
Author(s): Patrick J Kato, Dylan J Kato, Jesse Kato and Asha Shah
Abstract: We present a case of a 44-year-old Caucasian Male patient with no known identifiable risk factors for the development of Fournier’s gangrene who presented in septic shock with clinically significant scrotal pain, and rapidly progressive erythema and edema. The patient was resuscitated and treated in accordance with the surviving sepsis guidelines immediately prior to operative management. Consequently, the patient underwent serial, extensive, excisional debridement to adequately manage this life-threatening, infectious pathology. The diagnostic laparoscopy revealed intraabdominal adhesions, which, although not immediately conclusive, retrospectively informed clinical suspicion of an underlying process such as perforated diverticulitis as the etiology of his presentation. This prompted further postoperative evaluation, and ultimately a Hartmann’s procedure for definitive source control. This report highlights the need for prompt recognition and aggressive management of life-threatening necrotizing soft tissue infection (NSTI), and rare complications associated with undiagnosed or unsuspected perforated diverticulitis.
DOI: 10.22271/27081494.2025.v7.i2c.220
Pages: 181-184 | Views: 8 | Downloads: 6
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How to cite this article:
Patrick J Kato, Dylan J Kato, Jesse Kato, Asha Shah. Fournier’s gangrene as the unveiling manifestation of occult perforated diverticulitis. Int J Case Rep Surg 2025;7(2):181-184. DOI: 10.22271/27081494.2025.v7.i2c.220
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