Abstract
We report herein a patient in whom Fournier's gangrene caused by rectal cancer was reconstructed using a rectus abdominis myocutaneous flap. The patient was a 79-year-old male. He was seen by the urology service because of scrotal pain ; Fournier's gangrene was diagnosed. After drainage of the scrotum and the construction of a sigmoidostomy, a rectal cancer was detected. An abdominoperineal resection was performed and a skin defect 6×7 cm in size was left in the perineal region. The rectus abdominis myocutaneous flap was used for the reconstruction. After the surgery, there was no sign of recurrence or infection. The rectus abdominis myocutaneous flap is an excellent choice in cases with a large perineal defect due to its vascular stability and sufficient dead space filling of the pelvic cavity.
