Abstract
Progressive spread of necrosis in the skin and subcutaneous tissues of the scrotum is the key feature of idiopathic scrotal gangrene. The disease may present initially as an acute abdomen, but laparotomy should be avoided. Usually an anaerobic Streptococcus is found, acting in synergism with aerobic, frequently gram-negative, bacilli. As in other synergistic gangrenes, wide debridement with drainage of all sinus tracts is required. Although the testicles are frequently bared, they are usually not necrotic and should not be amputated. Once the infection has resolved, a surprising amount of skin coverage, including coverage of the testicles, can often be obtained from the scrotal remnants.
| Original language | English |
|---|---|
| Pages (from-to) | 591-596 |
| Number of pages | 6 |
| Journal | The American Journal of Surgery |
| Volume | 129 |
| Issue number | 5 |
| DOIs | |
| State | Published - Jan 1 1975 |
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ASJC Scopus subject areas
- Surgery
Cite this
Fournier's syndrome : Synergistic gangrene of the scrotum. / Rudolph, Ross; Soloway, Mark; DePalma, Ralph G.; Persky, Lester.
In: The American Journal of Surgery, Vol. 129, No. 5, 01.01.1975, p. 591-596.Research output: Contribution to journal › Article
}
TY - JOUR
T1 - Fournier's syndrome
T2 - Synergistic gangrene of the scrotum
AU - Rudolph, Ross
AU - Soloway, Mark
AU - DePalma, Ralph G.
AU - Persky, Lester
PY - 1975/1/1
Y1 - 1975/1/1
N2 - Progressive spread of necrosis in the skin and subcutaneous tissues of the scrotum is the key feature of idiopathic scrotal gangrene. The disease may present initially as an acute abdomen, but laparotomy should be avoided. Usually an anaerobic Streptococcus is found, acting in synergism with aerobic, frequently gram-negative, bacilli. As in other synergistic gangrenes, wide debridement with drainage of all sinus tracts is required. Although the testicles are frequently bared, they are usually not necrotic and should not be amputated. Once the infection has resolved, a surprising amount of skin coverage, including coverage of the testicles, can often be obtained from the scrotal remnants.
AB - Progressive spread of necrosis in the skin and subcutaneous tissues of the scrotum is the key feature of idiopathic scrotal gangrene. The disease may present initially as an acute abdomen, but laparotomy should be avoided. Usually an anaerobic Streptococcus is found, acting in synergism with aerobic, frequently gram-negative, bacilli. As in other synergistic gangrenes, wide debridement with drainage of all sinus tracts is required. Although the testicles are frequently bared, they are usually not necrotic and should not be amputated. Once the infection has resolved, a surprising amount of skin coverage, including coverage of the testicles, can often be obtained from the scrotal remnants.
UR - http://www.scopus.com/inward/record.url?scp=0016683749&partnerID=8YFLogxK
UR - http://www.scopus.com/inward/citedby.url?scp=0016683749&partnerID=8YFLogxK
U2 - 10.1016/0002-9610(75)90324-4
DO - 10.1016/0002-9610(75)90324-4
M3 - Article
C2 - 1130601
AN - SCOPUS:0016683749
VL - 129
SP - 591
EP - 596
JO - American Journal of Surgery
JF - American Journal of Surgery
SN - 0002-9610
IS - 5
ER -