Fournier gangrene - spontaneous perforation of rectal cancer
Updates to Case Attributes
Gas arising in the pelvis near the rectum passing into the peri-rectal, ishioanal and ischirectal fossae, and then into the buttock, posterior right thigh and perineum, extending into the right scrotum. This is a medical emergency as the patients are often hypotensive if gas forming organisms are responsible and there may be large ares of necrotic soft tissue that needs surgical debridement to avoid progression. Patients are often diabetic so mention this possibility in the report and stress the seriousness of the condition. Note right sided sacral body lytic metastasis consistant with known low rectal carcinoma.
-<p>Gas arising in the pelvis near the rectum passing into the peri-rectal, ishioanal and ischirectal fossae, and then into the buttock, posterior right thigh and perineum, extending into the right scrotum. This is a medical emergency as the patients are often hypotensive if gas forming organisms are responsible and there may be large ares of necrotic soft tissue that needs surgical debridement to avoid progression. Patients are often diabetic so mention this possibility in the report and stress the seriousness of the condition. Note right sided sacral body lytic metastasis consistant with known low rectal carcinoma.</p>- +<p>This is a medical emergency as the patients are often hypotensive if gas forming organisms are responsible and there may be large ares of necrotic soft tissue that needs surgical debridement to avoid progression. Patients are often diabetic so mention this possibility in the report and stress the seriousness of the condition</p>
References changed:
- Levenson RB, Singh AK, Novelline RA. Fournier gangrene: role of imaging. Radiographics. 2008;28 (2): 519-28. <a href="http://dx.doi.org/10.1148/rg.282075048">doi:10.1148/rg.282075048</a> - <a href="http://www.ncbi.nlm.nih.gov/pubmed/18349455">Pubmed citation</a><span class="auto"></span>
Updates to Study Attributes
Gas arising in the pelvis near the rectum passing into the peri-rectal, ishioanal and ischirectal fossae, and then into the buttock, posterior right thigh and perineum, extending into the right scrotum. Note right sided sacral body lytic metastasis consistant with known low rectal carcinoma.
Image CT (C+ portal venous phase) ( update )
Image CT (C+ portal venous phase) ( update )
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