Emergency Radiology

, Volume 11, Issue 5, pp 295–297 | Cite as

CT findings of perforated rectal carcinoma presenting as Fournier’s gangrene in the emergency department

Case Report


We report a case of a perforated rectal adenocarcinoma presenting as Fournier’s in the emergency department. CT findings in this case confirmed the clinical diagnosis, established the extent of disease, and suggested the presence of an underlying rectal neoplasm as the primary source of infection.


Fournier’s gangrene Necrotizing fasciitis Rectal adenocarcinoma Computed tomography 


  1. 1.
    Laucks SS (1994) Fournier’s gangrene. Surg Clin North Am 74:1339–1351PubMedGoogle Scholar
  2. 2.
    Sherman J, Solliday M, Paraiso E, Becker J, Mydlo J (1995) Early CT findings of Fournier’s gangrene in a healthy male. Clin Imag 22:425–427CrossRefGoogle Scholar
  3. 3.
    Rajan DK, Scharer KA (1998) Radiology of Fournier’s gangrene. AJR 170(1):163–168PubMedGoogle Scholar
  4. 4.
    Flanigan R, Kursch E, McDougal W et al (1978) Synergistic gangrene of the scrotum and penis secondary to colorectal disease. J Urol 119:369PubMedGoogle Scholar
  5. 5.
    Gamagami RA, Mostafavi M, Gamagami A, Lazorthes F (1998) Fournier’s gangrene: an unusual presentation for rectal carcinoma. Am J Gastro 93(4):657–658CrossRefGoogle Scholar
  6. 6.
    Vick R, Carson CC (1999) Fournier’s disease. Urol Clin North Am 26(4):841–849PubMedGoogle Scholar
  7. 7.
    Paty R, Smith AD (1992) Gangrene and Fournier’s gangrene. Urol Clin North Am 19(1):149–162PubMedGoogle Scholar
  8. 8.
    Amendola MA, Casillas J, Joseph R, Antum R, Galindez O (1994) Fournier’s gangrene: CT findings. Abdom Imaging 19:471–474CrossRefPubMedGoogle Scholar
  9. 9.
    Gould SW, Banwell P, Glazer G (1997) Perforated colonic carcinoma presenting as epidimyo-orchitis and Fournier’s gangrene. Eur J Surg Oncol 23(4):367–368CrossRefPubMedGoogle Scholar

Copyright information

© Am Soc Emergency Radiol 2005

Authors and Affiliations

  1. 1.Division of Radiology/HB6The Cleveland Clinic FoundationClevelandUSA

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