Fournier’s Gangrene: A Report of Two Cases and Literature Review

Abstract

Fournier's gangrene is a severe surgical emergency that occurs worldwide. The mortality and morbidity of this condition have greatly decreased over time due to improvements in surgical methods and critical care treatment. For a successful result and to lessen the high mortality and morbidity of this condition, an early diagnosis that includes evaluation of predisposing and etiological factors, metabolic and physiological parameters, prompt resuscitation, aggressive surgical debridement, broad-spectrum antibiotic coverage, and continuous monitoring of all the parameters is essential. In this study, we present two patients who reported to the hospital with Fournier’s gangrene.  Our first patient was a 47 year-old alcoholic whose gangrene involved the scrotum and perianal area and was successfully managed. The second case involved a 67-year-old man, a known diabetic on irregular treatment who presented with Fournier’s gangrene involving the scrotum. He made a full recovery, though the postoperative period was turbulent and prolonged.