Fournier ` s Gangrene의 = A Case of Fournier ` s Gangrene

다국어 초록 (Multilingual Abstract)

Fourier's disease is an uncommon form of gangrene involving the scrotum and perineum with synergistic necrotizing fascitis. It was described first by Fournier, a French venerealogist and there are 3 findings characterizing the syndrome: 1) abrupt onset in a healthy male patient, 2) rapid progression to gangrene and 3) absence of a specific causative agent. Today, Fourniers gasngrene is recognized as a form of synergistic necrotizing fascitis secondary to a focus of perianal infection or urinary tract infection or local trauma as possible causal factors. Despite aggressive surgical and medical management Fourniers gangrene has a significatn mortality rate (7 to 50 percent in previous studies). Recently we have experienced 1 case of Fourniers gangrene in a 72 years old male patient who presented us with severe abdominal pain and dyspnea of several days duration. The patients abdominal condition was aggravated progressively, so we have explored the abdomen in emergency with the impression of panperitonitis of unknown origin and found severe inflammation in retroperitoneum, especially in pelvic cavity. Bacterial culture of the paritoneal fluid revealed as E. coli. The patients general condition was not improved significantly even after the operation, and the perianal fluctuation bacame definite. We drained the perianal abscess 12 days after the operation, then the patients condition was improved. The patient was discharged with healing stage of perianal abscess, but the anal sphincter function was still poor.