Fournier gangrene in pregnancy.

Abstract

BACKGROUND:

Fournier gangrene is a rare and rapidly progressive necrosis of the perineal and genitourinary region. Although predominantly affecting men, we describe an unusual presentation in pregnancy.

CASE:

A 30-year old primigravid woman in the third trimester of pregnancy presented with a history of low back pain. Subsequently, a diagnosis of perianal sepsis and associated Fournier gangrene was established. The patient underwent an emergency cesarean delivery followed by radical surgical debridement and colostomy.

CONCLUSION:

Expedited delivery, timely diagnosis of gangrene, urgent, extensive debridement, and broad-spectrum antibiotic coverage contributed largely to effective management of this rare presentation in pregnancy.

• Authors: Rinkita Sinha, Asiri Arachchi, Peter Lee, Kareem Marwan
• Journal: Obstetrics and gynecology (Obstet Gynecol) Vol. 125 Issue 6 Pg. 1342-1344 (Jun 2015) ISSN: 1873-233X [Electronic] United States
• PMID: 25774932 (Publication Type: Case Reports, Journal Article)

Topics

• Adult
• Debridement
• Female
• Fournier Gangrene (surgery)
• Humans
• Pregnancy
• Pregnancy Complications, Infectious (surgery)