2020 Volume 40 Issue 6 Pages 787-790
A 51–year–old man visited a neighborhood clinic complaining of anal pain after a colonoscopy. The patient was diagnosed as having a perianal abscess and treated by incision and drainage and antibiotic therapy by the previous doctor. However, the disease progressed to Fournier’s gangrene and the patient was referred to our department. Aggressive debridement of the perineum and transverse colostomy were performed. Negative pressure wound therapy was started on the 38th postoperative day, and split–thickness skin grafting was performed on the 79th postoperative day. He was discharged from the hospital on the 108th day after the initial operation. Closure of the colostomy was performed on the 269th postoperative day. Despite perianal tissue loss due to extensive debridement, the anorectal function was preserved. We reported a case in which we performed aggressive debridement for Fournier’s gangrene, but in whom the anorectal function was preserved despite the significant defects of the perianal soft tissue caused by the debridement.
