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BMJ Case Rep. 2017 Dec 22;2017. pii: bcr-2017-222282. doi: 10.1136/bcr-2017-222282.

Contemporary non-surgical approach for faecal diversion in a case of Fournier's gangrene.

Author information

1
Department of General Surgery, Seth GS Medical College and KEM Hospital, Mumbai, India.

Abstract

Fournier's gangrene is a fatal necrotising fasciitis of the perineum, genitals and lower abdomen. Patients often need an aggressive surgical debridement, and in few cases, a diverting colostomy. We report the case of a 70-year-old man with multiple comorbidities diagnosed with Fournier's gangrene, who underwent debridement and had a wound complication due to faecal contamination. A novel, self-retaining rectal device was used to perform faecal diversion, which subsequently showed wound healing within a week, hence avoiding the need of a colostomy.

KEYWORDS:

continence; general surgery; infection control in hospital; medical-surgical nursing; wound care

PMID:
29275388
DOI:
10.1136/bcr-2017-222282
[Indexed for MEDLINE]

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