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Journal of Ultrasound

, Volume 17, Issue 4, pp 303–306 | Cite as

A clinical case of Fournier’s gangrene: imaging ultrasound

  • Marco Di SerafinoEmail author
  • Chiara Gullotto
  • Chiara Gregorini
  • Claudia Nocentini
Case Report

Abstract

Fournier’s gangrene is a rapidly progressing necrotizing fasciitis involving the perineal, perianal, or genital regions and constitutes a true surgical emergency with a potentially high mortality rate. Although the diagnosis of Fournier’s gangrene is often made clinically, emergency ultrasonography and computed tomography lead to an early diagnosis with accurate assessment of disease extent. The Authors report their experience in ultrasound diagnosis of one case of Fournier’s gangrene of testis illustrating the main sonographic signs and imaging diagnostic protocol.

Keywords

Fournier's gangrene Sonography 

Riassunto

La gangrena di Fournier è una fascite necrotizzante a rapida progressione che coinvolge il perineo, le regioni perianale e genitali e costituisce una vera emergenza chirurgica con un tasso di mortalità potenzialmente elevato. Anche se la diagnosi di gangrena di Fournier è spesso fatta clinicamente, l'ecografia in emergenza e la tomografia computerizzata portano ad una diagnosi precoce, con una valutazione accurata dell'estensione della malattia. Gli Autori riportano la loro esperienza di diagnosi ecografica in un caso di gangrena di Fournier del testicolo, che illustra i principali segni ecografici ed i protocolli di diagnostica per immagini.

Notes

Conflict of interest

Marco Di Serafino, Chiara Gullotto, Chiara Gregorini, Claudia Nocentini declare that they have no conflict of interest.

Informed consent

All procedures followed were in accordance with the ethical standards of the responsible committee on human experimentation (institutional and national) and with the Helsinki Declaration of 1975, and its late amendments. Additional informed consented was obtained from all patients for which identifying information is not included in this article.

Human and animal rights

This article does not contain any studies with human or animal subjects performed by any of the authors.

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Copyright information

© Società Italiana di Ultrasonologia in Medicina e Biologia (SIUMB) 2014

Authors and Affiliations

  • Marco Di Serafino
    • 1
    Email author
  • Chiara Gullotto
    • 2
  • Chiara Gregorini
    • 1
  • Claudia Nocentini
    • 1
  1. 1.U.O. Radiodiagnostica P.O. Santa Maria alla Gruccia Azienda USL8 Arezzo, zona ValdarnoMontevarchiItaly
  2. 2.U.O. Pronto Soccorso, DEA P.O. Santa Maria alla Gruccia Azienda USL8 Arezzo, zona ValdarnoMontevarchiItaly

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