Novosti
Khirurgii
This journal is
indexed in Scopus



Year 2018 Vol. 26 No 3

CASE REPORTS

DOI: https://dx.doi.org/10.18484/2305-0047.2018.3.376   |  

M.A. AKSELROV 1, 2, V.N. EVDOKIMOV 1, V.V. SVAZYAN 1, A.V. STOLYAR 2, P.A. GOROKHOV 2

FOURNIER GANGRENE IN ADOLESCENT

Tyumen State Medical University 1,
Regional Clinical Hospital 2, Tyumen 2,
The Russian Federation

Acute infectious necrotizing fasciitis with the lesion of the external genitalia and perineum (Fournier gangrene) refers to a rare disease that develops mainly in elderly male people with a burdened comorbid background, and as a rule, has a fulminant course. The prognosis for this disease directly depends on the timing of the qualified surgical care rendering. The delay in treatment, even for only a few hours, leads to an increase in mortality, which reaches 88% in this pathology. In children, the cases of Fournier gangrene are extremely rare and are represented by single descriptions in the literature. The article presents the clinical observation of the surgical treatment of a 15-year-old child with Fournier gangrene of the scrotum. This clinical case is given by us with the purpose of acquaintance with a rarely observed pathology in childhood, which can be met by every pediatric surgeon or a pediatric urologist. Perhaps the suggested approach to diagnosis and treatment can help in a timely manner to determine the diagnosis and make the right decision concerning surgical tactics.

Keywords: Fournier gangrene, fulminant gangrene of the scrotum, necrotizing fasciitis, rare diseases, prognosis, child
p. 376-379 of the original issue
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Address for correspondence:
625007, The Russian Federation,
Tyumen, Odesskaya Str., 38,
Tyumen State Medical University,
Department of Pediatric Surgery,
Tel. mobile: +7961-207-63-10,
+7 (3452) 28-71-23,
e-mail: evn-tym@mail.ru,
Vladimir N. Evdokimov
Information about the authors:
Akselrov Mikhail A., MD, Associate Professor, Head of the Department of Pediatric Surgery, Tyumen State Medical University, Tyumen, Russian Federation.
http://orcid.org/0000-0001-6814-8894
Svazyan Vadim V., PhD, Associate Professor of the Department of Pediatric Surgery, Tyumen State Medical University, Tyumen, Russian Federation.
http://orcid.org/0000-0002-6217-8600
Evdokimov Vladimir N., PhD, Assistant of the Department of Pediatric Surgery, Tyumen State Medical University, Tyumen, Russian Federation. http://orcid.org/0000-0002-0331-3438
Stolyar Aleksandr V., Pediatric Urologist-Andrologist, Physician of the Pediatric Surgery Unit 1, Regional Clinical Hospital 2, Tyumen, Russian Federation. http://orcid.org/0000-0002-0704-5418
Gorokhov Pavel A., Pediatric Urologist-Andrologist, Physician of the Pediatric Surgery Unit 1, Regional Clinical Hospital 2, Tyumen, Russian Federation. http://orcid.org/0000-0001-6830-1094
Contacts | ©Vitebsk State Medical University, 2007