2008 Volume 28 Issue 7 Pages 965-968
There are few report on cases of Fournier's gangrene caused by fish bones. 74-year-old woman with a high fever disturbance of consciousness was transferred to a hospital. Computed tomography detected a foreign body in the rectum. A fish bone had pricked the dentate line and was removed. The patient had gangrene in her perineum, and so was diagnosed as having Fournier's gangrene. The patient went into shock an hour after hospitalization, therefore we performed daily drainage and wash-through in the ICU and started PMX-DHP with CHDF in series. Following intensive care, the patient's condition improved and she was released from ICU. A covering stoma was constructed to control perineum dermatitis due to defecation. She was discharged on the 56th hospital day. We conclude that early intensive care, drainage and wash-through are necessary for the treatment of Fournier's gangrene if an aggressive surgical procedure such as radical necrosectomy and debridement can not be chosen.
