Submit
     
Case Report
 
Two staged surgical treatment of a low rectal tumor presented with Fournier’s gangrene: A case report
Osman Zekai Öner1, Barış Rafet Karakaş1, Rojbin Karakoyun Demirci1, Nuray Ayper Öngen1, Mani Habibi1, Nurullah Bülbüller2
1MD, Department of Surgery, Antalya Training and Research Hospital, Antalya, Turkey.
2Associate Prof, MD, Department of Surgery, Antalya Training and Research Hospital, Antalya, Turkey.

doi:10.5348/ijcri-2013-05-310-CR-7

Address correspondence to:
Osman Zekai Önerner
MD, Department of General Surgery
Antalya Training and Research Hospital, Antalya-07030
Turkey
Phone: +90 (242) 249 44 00-3999; GSM: +90 (532) 766 10 78
Fax: +90 (242) 249 44 62
Email: osmanzekai@yahoo.com

Access full text article on other devices

  Access PDF of article on other devices

[HTML Full Text]   [PDF Full Text] [Print This Article]
[Similar article in Pumed] [Similar article in Google Scholar]


How to cite this article:
Öner OZ, Karakaş BR, Demirci RK, Öngen NA, Habibi M, Bülbüller N. Two staged surgical treatment of a low rectal tumor presented with Fournier's gangrene: A case report. International Journal of Case Reports and Images 2013;4(5):270–274.


Abstract
Introduction: Rectal cancer presenting with Fournier's gangrene (FG) is a very rare life- threatening surgical emergency that presents a challenge for clinicians for diagnosis and management.
Case Report: We report case of a 57-year-old male patient having a low rectal tumor and presenting with Fournier’s gangrene. The patient first underwent surgical debridement and fecal diversion for treatment of Fournier's gangrene. Following a fast and successful wound healing with the application of a vacuum assisted wound closure device, surgical removal of the rectal tumor was performed on the 11th day. After receiving chemotherapy and radiotherapy and one year of follow-up, the patient is currently disease free.
Conclusion: In our opinion a fecal diversion is necessary in case of Fournier’s gangrene not only to control the source of infection but in cases of Fournier’s gangrene also to provide a chance of applying a vacuum assisted wound closure device which dramatically shortens the duration of wound contraction and granulation in Fournier’s gangrene. After this initial effort is accomplished a definitive surgery can be successfully implemented.

Keywords: Rectum adenocarcinoma, Fournier’s gangrene, Necrotizing fasciitis, Staged surgical treatment


[HTML Full Text]   [PDF Full Text]
Author Contributions
Osman Zekai Öner – Conception and design, Acquisition of data, Analysis and interpretation of data, Drafting the article, Critical revision of the article, Final approval of the version to be published
Barış Rafet Karakaş – Analysis and interpretation of data, Drafting the article, Critical revision of the article, Final approval of the version to be published
Rojbin Karakoyun Demirci – Drafting the article, Final approval of the version to be published
Nuray Ayper Öngen – Drafting the article, Final approval of the version to be published
Mani Habibi – Acquisition of data, Drafting the article, Final approval of the version to be published
Nurullah Bülbüller – Drafting the article, Critical revision of the article, Final approval of the version to be published
Guarantor of submission
The corresponding author is the guarantor of submission.
Source of support
None
Conflict of interest
Authors declare no conflict of interest.
Copyright
© Osman Zekai Öner et al. 2013; This article is distributed the terms of Creative Commons Attribution License which permits unrestricted use, distribution and reproduction in any means provided the original authors and original publisher are properly credited. (Please see Copyright Policy for more information.)