Fournier's gangrene due to perioperative iatrogenic colon perforation in a renal transplant recipient
Joint Authors
Papadimitriou, Georgios
Koukoulaki, Maria
Vardas, Konstantinos
Grigorakis, Alkis
Vougas, Vasileios
Drakopoulos, Spiros
Source
Saudi Journal of Kidney Diseases and Transplantation
Issue
Vol. 26, Issue 6 (31 Dec. 2015), pp.1257-1261, 5 p.
Publisher
Saudi Center for Organ Transplantation
Publication Date
2015-12-31
Country of Publication
Saudi Arabia
No. of Pages
5
Main Subjects
Topics
- Patients
- Case studies
- Kidneys
- Colon
- Surgery
- Hemodialysis
- Organ transplantation
- Congenital malformations
- Inguinal hernia
- Gangrene
Abstract EN
Fournier’s gangrene is not a common cause of morbidity in renal transplant recipients, but, if it occurs, it is difficult to treat because of the immunosuppression and associated increased mortality rate.
We describe the case of a male patient who underwent renal transplantation with complicated post-operative course, resulting in cecum perforation (thermal injury due to cautery use during transplantation) requiring exploratory laparotomy and cecostomy.
A few days later, he developed Fournier’s gangrene and urgent radical surgical debridement of the scrotum was performed, along with aggressive antibiotic regimen and the immunosuppressive treatment was modified.
Subsequently, the patient underwent scheduled cecostomy closure (right hemicolectomy), while the scrotum trauma healed with tertiary intention.
Epidemiologic characteristics, clinical presentation, diagnostic workup, therapeutic options and morbidity–mortality rates of Fournier’s gangrene are reviewed, emphasizing the role of immunosuppression in renal transplant recipients to disease development.
American Psychological Association (APA)
Papadimitriou, Georgios& Koukoulaki, Maria& Vardas, Konstantinos& Grigorakis, Alkis& Vougas, Vasileios& Drakopoulos, Spiros. 2015. Fournier's gangrene due to perioperative iatrogenic colon perforation in a renal transplant recipient. Saudi Journal of Kidney Diseases and Transplantation،Vol. 26, no. 6, pp.1257-1261.
https://search.emarefa.net/detail/BIM-629754
Modern Language Association (MLA)
Papadimitriou, Georgios…[et al.]. Fournier's gangrene due to perioperative iatrogenic colon perforation in a renal transplant recipient. Saudi Journal of Kidney Diseases and Transplantation Vol. 26, no. 6 (Nov. / Dec. 2015), pp.1257-1261.
https://search.emarefa.net/detail/BIM-629754
American Medical Association (AMA)
Papadimitriou, Georgios& Koukoulaki, Maria& Vardas, Konstantinos& Grigorakis, Alkis& Vougas, Vasileios& Drakopoulos, Spiros. Fournier's gangrene due to perioperative iatrogenic colon perforation in a renal transplant recipient. Saudi Journal of Kidney Diseases and Transplantation. 2015. Vol. 26, no. 6, pp.1257-1261.
https://search.emarefa.net/detail/BIM-629754
Data Type
Journal Articles
Language
English
Notes
Includes bibliographical references : p. 1261
Record ID
BIM-629754