Acute management of Fournier's gangrene in the setting of massive lymphedema

Acute management of Fournier's gangrene in the setting of massive lymphedema

Chronic, massive lymphedema of the scrotum can pose therapeutic challenges to the urologist. Uncommonly encountered in developed countries, this dilemma can be amplified in the emergent setting. Along with voiding limitations and pain, lymphedema can lead to recurrent subcutaneous infections. Recurr...

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Bibliographic Details
Main Authors: Katherine Dowd, Belur Patel, Zoe Blumenthal, Nelson Rodriguez-Unda, Erin Bird
Format: Article
Language:English
Published: Elsevier 2020-01-01
Series:Urology Case Reports
Online Access:http://www.sciencedirect.com/science/article/pii/S2214442019302694
Description
Summary:Chronic, massive lymphedema of the scrotum can pose therapeutic challenges to the urologist. Uncommonly encountered in developed countries, this dilemma can be amplified in the emergent setting. Along with voiding limitations and pain, lymphedema can lead to recurrent subcutaneous infections. Recurrence of infections can lead to a cycle of worsening lymphedema. We report a case of Fournier's gangrene complicated by massive lymphedema of the scrotum and right leg in a 43 year-old man from Panama, presumably filarial. This case highlights the surgical management of a patient requiring emergent intervention and multidisciplinary approach of reconstructive repair in the acute care setting. Keywords: Scrotal reconstruction, Fournier's gangrene, Filariasis
ISSN:2214-4420

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