Fournier gangrene: first manifestation of occult rectal cancer

Fournier gangrene is a necrotizing fasciitis of the genital and perineal region. Diverse factors predispose to Fournier gangrene, such as diabetes mellitus, ethylism, liver dysfunction, haematological disorders, obesity or recent regional instrumentation. Rectal tumours can also predispose to Fourni...

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Bibliographic Details
Published inActa chirurgica belgica Vol. 111; no. 5; p. 329
Main Authors Ruiz-Tovar, J, Córdoba, L, Devesa, J M
Format Journal Article
LanguageEnglish
Published England 01.09.2011
Subjects
Adenocarcinoma - complications
Adenocarcinoma - diagnosis
Aged
Diabetes Mellitus - epidemiology
Fatal Outcome
Fournier Gangrene - epidemiology
Fournier Gangrene - etiology
Humans
Male
Middle Aged
Rectal Neoplasms - complications
Rectal Neoplasms - diagnosis
Rectal Neoplasms - epidemiology
Risk Factors
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Summary:Fournier gangrene is a necrotizing fasciitis of the genital and perineal region. Diverse factors predispose to Fournier gangrene, such as diabetes mellitus, ethylism, liver dysfunction, haematological disorders, obesity or recent regional instrumentation. Rectal tumours can also predispose to Fournier gangrene; most of the reported cases are perforated or unresectable colorectal tumours, but some cases of anorectal cancer diagnosed after recovery from Fournier gangrene have also been reported. In these cases, the presence of a rectal tumour at the time of, or prior to, diagnosis of Fournier gangrene could not be ruled out. We present three cases of rectal cancer whose first manifestation was as Fournier gangrene.
ISSN:0001-5458
DOI:10.1080/00015458.2011.11680765