A Novel Approach to a Rare Case of Fournier’s Gangrene Involving the Space of Retzius
Ong Jianming Calvin, Amanda See Huimin, Ramesh Wijaya, Sulaiman Bin Yusof
Asian Journal of Case Reports in Surgery · pp. 30–35 · Published 2 Feb 2024
Abstract
Fournier’s gangrene is a type of necrotizing fasciitis involving the perineal, perianal or genital areas that is rapidly progressive and life-threatening. Treatment involves urgent surgical debridement as well as antibiotic therapy. We report a rare case of Fournier’s gangrene of the perianal region which extended up the left pararectal and paravesical space to involve the space of Retzius. This was managed in a novel and minimally invasive approach which avoided the need for a laparotomy and its associated morbidity.
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