Case Report
 
Scrotal reconstruction by inguinal flap after Fournier’s gangrene: A case report and review of literature
Marvin Richie Dongmo Tsopmene1, David Ngaroua2, Joseph Eloundou Ngah3, Ignagali Ousmaila Bianpambe1
1Medical Doctor, General practitioner, Faculty of Medicine and Biomedical Sciences of the University of Yaounde, St Marie of Salapoumbe Catholic Hospital
2Medical Doctor, General Surgeon, Faculty of medicine of Garoua
3Professor of Medicine, Neurosurgeon, Faculty of Medicine and biomedical sciences of the university of Yaounde

Article ID: 100920Z01MT2018
doi: 10.5348/100920Z01MT2018CR

Corresponding Author:
Tsopmene Dongmo Marvin Richie,
MD, Medical Doctor,
General practitionerSalapoumbé Hospital,
Cameroon

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How to cite this article
Tsopmene MRD, Ngaroua D, Ngah JE, Bianpambe IO. Scrotal reconstruction by inguinal flap after Fournier’s gangrene: A case report and review of literature. Int J Case Rep Images 2018;9:100920Z01MT2018.


ABSTRACT

Introduction: Fournier’s gangrene is a necrotizing fasciitis of the perineo-scrotal region. It is a medical and surgical emergency justifying a prompt multidisciplinary management. Improvement of the functional and aesthetic outcome is still a big challenge for the medical community.

Case Report: This is a case of a Fournier’s gangrene in a 25-year-old man, having as risk factors 10 years alcohol consumption and a bad personal hygiene. About 70% of the scrotal skin surface was lost to the debridement. A pedicle inguinal flap was used for scrotal reconstruction, following conventional iterative dressing, with satisfactory esthetic and functional results three months later.

Conclusion: Rapid diagnosis followed by a radical debridement is the mainstay of management of Fournier’s gangrene. Pedicle inguinal flap is a technique of choice for reconstruction of major scrotal skin defects in resource limited settings.

Keywords: Fournier’s gangrene, Inguinal flap, Scrotal reconstruction


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Acknowledgements
The authors acknowledge the technical support received from Dr kongni Gervais and Dr Carlson abomatei.
Author Contributions
Marvin Richie Dongmo Tsopmene – Substantial contributions to conception and design, Analysis and interpretation of data, Revising it critically for important intellectual content, Final approval of the version to be published
David Ngaroua – Substantial contributions to conception and design, Revising it critically for important intellectual content, Final approval of the version to be published
Joseph Eloundou Ngah – Substantial contributions to conception and design, Revising it critically for important intellectual content, Final approval of the version to be published
Ignagali Ousmaila Bianpambe – Acquisition of data, Drafting the article, Revising it critically for important intellectual content, Final approval of the version to be published
Guarantor of Submission
The corresponding author is the guarantor of submission.
Source of Support
None
Consent Statement
Written informed consent was obtained from the patient for publication of this case report.
Conflict of Interest
Author declares no conflict of interest.
Copyright
© 2018 Marvin Richie Dongmo Tsopmene et al. This article is distributed under the terms of Creative Commons Attribution License which permits unrestricted use, distribution and reproduction in any medium provided the original author(s) and original publisher are properly credited. Please see the copyright policy on the journal website for more information.