A Case of Fournier's Gangrene by Dr. Hardik Ahuja

Dr. Hardik Ahuja is sharing a case of Fournier's Gangrene managed with great expertise by him. Share your views on the case & learn new things Follow us for more such updates!

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Fournier's gangrene is a type of rapidly spreading necrotising fascitis It needs urgent surgical intervention and complete debridement It is one of the diseases which can be rapidly fatal and life threatening if not treated aggressively and quickly Very well managed case

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Fournier's gangrene is dire emergency in surgical practice which requires prompt attention to reduce the morbidity . It is a necrotising fasciatis which extends rapidly causing life threatening of life due to rapid extension of infection to the surrounding organs like liver kidney etc and even causing severe septicaemia peritonitis and septaecimic shock.. During debribement when extensive necrotising fasciatis and while debribement both testes may get exposed and may require to implant the testes in the upper part of thighs. Considering all these complication really your expertise did a command able job. GREAT SALUTE TO YOU .

Thanks Dr Narendra Kumar.
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Very informative and useful educational presentation on fournier's gangrene. Introduction, Case profile & History, Vitals, Local Examination, Other Systems Examination, Investigations, Differential Diagnosis, Management, Post Operative Management & Follow -up and Key Learnings are Knowledge booster. Thanks Dr Hardik Ahuja for sharing useful presentation.

Thanks Dr Santoskumar Choudki
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One of the rare acute surgical emergencies where - cooperation between a surgeon and emergency medicine specialist is indicated . This case of FOURNIER "S,GANGRENE presented by Dr Hardik Ahuja,in curofy expert clinical case is one such example where it is being shared by an internal medicine specialist. As in such cases - on the initial hours,before surgical debridement, IV line is maintained, septic shock if present needs,to be managed , dehydration if present needs,to be corrected, urine output is monitored after insertion of a Foley 's catheter. Then debridement done as in this case followed by Inj Piperacillin, tazobactum and metronidazole. On 12 th day -- The deluded testis were covered with a fascio- cutaneous flap from thigh region. Another alternative is that testis may be buried in a subcutaneous pouch created in upper medial thigh . Congratulations Dr Ahuja for well management of this case

Fourniers gangrene is a surgical emergency, it's merely a clinical diagnosis based on the necrotic tissue foul odour crepitus rapidly progressive history. Radiological investigation not required. Early surgical debridement, appropriate antibiotics, daily dressing 2 times, adequate nutrition protein diet, correct anemia if present, once granulation tissue occurs and culture negative revision surgery can be done either flap cover or or if adequate healthy tissue present secondary suturing. Always watch out for any further ongoing necrosis during dressing

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Good case of Fournier's gangrene Well illustrative procedure followed One more cause is anal surgeries I have seen post anal surgeries developing Fournier's gangrene due to careless sepsis No doubt it is fulminatiing and life threatening Timel diagnosed and prompt action is life saving

Thanx dr Praveen Yograj
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Congratulations! Your case has been selected as Case of the day and you have been awarded 5 points for sharing the case. Keep posting your interesting cases, Happy Curofying!

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Nice post Well managed case Rapidly spreading Fasciitis among diabetics Thank you ,👍

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Excellent management of necrotising fascitis.

Thanx Dr.Rajendraji
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Nice Management Sir, Case Of Fournier's Gangerene

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