2020 Volume 40 Issue 4 Pages 601-604
Fournier gangrene commonly occurs as a complication of anal fistula, perianal abscess, and urological diseases, and there are few reports of patients developing Fournier gangrene as a complication of rectal cancer. Herein, we report a case of Fournier gangrene encountered by us that was caused by penetrating throughout rectal cancer. The patient was a 70s male who visited a nearby hospital with a history of fever and right lower abdominal pain. He was diagnosed by abdominal CT as having penetrating rectal cancer, and colostomy was performed. The patient was subsequently referred to our hospital due to insufficient improvement of the inflammation. He was diagnosed as having Fournier gangrene caused by penetrating rectal cancer, and urgent debridement was performed. After repeated cleaning and debridement, the inflammatory reaction improved. Due to severe leakage of albumin from the site of debridement, leg amputation was necessary to secure hemodynamic stability. Systemic chemotherapy was administered for pulmonary metastasis that had been diagnosed before the surgery, but the patient died 8 months after the surgery.
