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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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
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spelling doaj-4a24f717c6d9485eb3d16f89ecdf14502020-11-25T01:29:33ZengElsevierUrology Case Reports2214-44202020-01-0128Acute management of Fournier's gangrene in the setting of massive lymphedemaKatherine Dowd0Belur Patel1Zoe Blumenthal2Nelson Rodriguez-Unda3Erin Bird4Baylor Scott and White Health, United States; Corresponding author. Baylor Scott and White Health, 5716 Ellington Ct, Temple, TX, 76502, United States.Baylor Scott and White Health, United StatesTexas AM University College of Medicine, United StatesBaylor Scott and White Health, United StatesBaylor Scott and White Health, United StatesChronic, 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, Filariasishttp://www.sciencedirect.com/science/article/pii/S2214442019302694
collection DOAJ
language English
format Article
sources DOAJ
author Katherine Dowd
Belur Patel
Zoe Blumenthal
Nelson Rodriguez-Unda
Erin Bird
spellingShingle Katherine Dowd
Belur Patel
Zoe Blumenthal
Nelson Rodriguez-Unda
Erin Bird
Acute management of Fournier's gangrene in the setting of massive lymphedema
Urology Case Reports
author_facet Katherine Dowd
Belur Patel
Zoe Blumenthal
Nelson Rodriguez-Unda
Erin Bird
author_sort Katherine Dowd
title Acute management of Fournier's gangrene in the setting of massive lymphedema
title_short Acute management of Fournier's gangrene in the setting of massive lymphedema
title_full Acute management of Fournier's gangrene in the setting of massive lymphedema
title_fullStr Acute management of Fournier's gangrene in the setting of massive lymphedema
title_full_unstemmed Acute management of Fournier's gangrene in the setting of massive lymphedema
title_sort acute management of fournier's gangrene in the setting of massive lymphedema
publisher Elsevier
series Urology Case Reports
issn 2214-4420
publishDate 2020-01-01
description 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
url http://www.sciencedirect.com/science/article/pii/S2214442019302694
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AT zoeblumenthal acutemanagementoffourniersgangreneinthesettingofmassivelymphedema
AT nelsonrodriguezunda acutemanagementoffourniersgangreneinthesettingofmassivelymphedema
AT erinbird acutemanagementoffourniersgangreneinthesettingofmassivelymphedema
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