The Management of a Patient Presented with Fournier’s Gangrene Associated with Undiagnosed Ulcerative Colitis: A Case Report

Introduction: Fournier's gangrene is a rare polymicrobial necrotizing fasciitis of the perineal and perianal regions, found to be associated with colorectal diseases and urogenital operations. We present here a difficult management of a patient presented with Fournier's gangrene associated with undiagnosed Ulcerative colitis. Case Presentation: A 25 year-old man presented with scrotal edema and pain was diagnosed with Fournier's gangrene. The patient was hospitalized and treated with wide-spectrum antibiotics and surgical debridement of the necrotic tissue. During follow up the patient developed a toxic megacolon which was successfully treated by colectomy and end-ileostomy. The pathological findings of the surgical specimen were resulted as a diffuse active colitis supporting ulcerative colitis. Conclusion: Fournier's gangrene is an aggressive infection with high mortality rates which requires a multidisciplinary approach.