Background: Fournier’s gangrene (FG) is a necrotizing cellulitis of the perineum and external genitalia. It is most described in adults, although pediatric cases have been described. FG is a life-threatening medical and surgical emergency. After the acute phase, the real challenge lies in reconstructing the perineum. Aim: The aim of this was to describe our management of FG and to review the literature. Case Presentation: This was a 12-year-old patient seen for FG and treated initially with triantibiotic therapy, excison of the necrosis and colostomy. Then construction of the perineum by skin grafting with a satisfactory aesthetic result. Conclusion: Skin grafting is a very good therapeutic option for reconstruction of the perineum in FG.
References
[1]
Sarkis, P., Farran, F., Khoury, R., Kamel, G., Nemr, E., Biajini, J., et al. (2009) Gangrène de Fournier: Revue de la littérature récente. ProgrèsenUrologie, 19, 75-84. https://doi.org/10.1016/j.purol.2008.09.050
[2]
Kołodziejczyk, J., Czarny, J., Królak, S., Rutkowska, S., Moryciński, S., Mańkowski, P., et al. (2025) Successful Treatment of Fournier’s Gangrene in Child with Relapsed Acute Lymphoblastic Leukemia: Case Report and Review of the Literature. Infection and Drug Resistance, 18, 1667-1673. https://doi.org/10.2147/idr.s490240
[3]
Delport, J.E. and Makamba, K. (2020) Necrotising Fasciitis in a Ten Month Old Infant. Urology Case Reports, 32, Article ID: 101245. https://doi.org/10.1016/j.eucr.2020.101245
[4]
Phoenix, E. and O’Broin, E. (2025) A Case of Fournier’s Gangrene Secondary to Varicella Zoster Virus in a 7-Year-Old Boy. Case Reports in Surgery, 2025, Article ID: 6094099. https://doi.org/10.1155/cris/6094099
[5]
Bakalli, I., Heta, S., Kola, E. and Celaj, E. (2023) Fournier Gangrene in an Infant, Complicated with Severe Sepsis and Liver Dysfunction: A Case Report. World Journal of Clinical Cases, 11, 7398-7402. https://doi.org/10.12998/wjcc.v11.i30.7398
[6]
Schaeffer, E.M. and Schaeffer, A.J. (2007) Infections of the Urinary Tract. In: Wein, A., Ed., Campbell-Walsh Urology, Saunders Elsevier, 301-303.
[7]
Marinella, M.A. (2005) Group C Streptococcal Sepsis Complicating Fournier Gangrene. Southern Medical Journal, 98, 920-922. https://doi.org/10.1097/01.smj.0000177354.44532.9f
[8]
Hallock, G.G. (2006) Scrotal Reconstruction Following Fournier Gangrene Using the Medial Circumflex Femoral Artery Perforator Flap. Annals of Plastic Surgery, 57, 333-335. https://doi.org/10.1097/01.sap.0000218505.13232.1b
[9]
Ferreira, P.C., Reis, J.C., Amarante, J.M., Silva, C., Pinho, C.J., Oliveira, I.C., et al. (2007) Fournier’s Gangrene: A Review of 43 Reconstructive Cases. Plastic and Reconstructive Surgery, 119, 175-184. https://doi.org/10.1097/01.prs.0000244925.80290.57
[10]
Ghahestani, S.M., Hekmati, P. and Karimi, S. (2019) A New Technique of Scrotoplasty Following Total Scrotal Destruction by Raised Rotated Perineal Flaps with De Epithelialized Borders. Urology Journal, 16, 221-223.
