Management of neglected urethral stone and Fournier's gangrene as its complication: A case report
Issued Date
2024-10-01
Resource Type
ISSN
22102612
Scopus ID
2-s2.0-85203009263
Journal Title
International Journal of Surgery Case Reports
Volume
123
Rights Holder(s)
SCOPUS
Bibliographic Citation
International Journal of Surgery Case Reports Vol.123 (2024)
Suggested Citation
Angeli A.P., Wirjopranoto S., Azmi Y.A., Putra A.G.P., Soetanto K.M. Management of neglected urethral stone and Fournier's gangrene as its complication: A case report. International Journal of Surgery Case Reports Vol.123 (2024). doi:10.1016/j.ijscr.2024.110233 Retrieved from: https://repository.li.mahidol.ac.th/handle/20.500.14594/101144
Title
Management of neglected urethral stone and Fournier's gangrene as its complication: A case report
Author's Affiliation
Corresponding Author(s)
Other Contributor(s)
Abstract
Introduction and importance: Fournier's gangrene (FG) is a rare necrotizing fasciitis, and it's a urological emergency. Another disease that can cause FG is urethral stones. This case report is prepared to discuss the management of neglected urethral stones and Fournier's Gangrene, as well as its complications. Case presentation: A 49-year-old male presented to the emergency room (ER) referred from the public health centre with a swollen and infected scrotum 2 weeks ago. It was worsened 1 day before hospital admission, accompanied by the discharge of pus from the scrotum. The patient also complained presence of intermittent fever, nausea, and vomiting. There was a history of straining when urinating. Physical examination showed a lump at the penis and crepitation at the scrotum. Radiological examination of the kidney ureter and bladder (KUB) x-ray and urethrography showed the presence of gangrenous gas at the scrotum. In this case, we perform open cystostomy, debridement necrotomy, and removal of urethral stone. Clinical discussion: Management of neglected urethral stones and Fournier's Gangrene cases needs to be done immediately to prevent poor outcomes. Necrotomy debridement management is performed immediately as a source of infection. Open cystostomy as a urinary diversion is performed so that urine does not pass through the urethra and the healing process of the urethra can be maximized. Conclusion: Controlling the source of infection and urinary diversion is important in cases where neglected urethral stones and Fournier's gangrene are found.