Abstract
A case of Fournier's gangrene with wide-ranging subcutaneous emphysema which continuously extended from the left upper to left lower limbs is reported, together with a review of the literature.
A 51-year-old man was seen at the hospital because of pain, swelling, and reddening of the scrotum and perineum. Inflammatory reaction was remarkable and crepitant sensation was confirmed from the neck to left lower limb. CT revealed continuous subcutaneous emphysema covering from the left upper limb to left lower limb. On the day of admission, an emergency operation was conducted, when removal of necrosed tissues from the perianal area and scrotum as well as incision from the chest wall to lower abdominal wall and drainage was carried out. On the eighth postoperative day an increase in inflammatory area was confirmed, and so incision and drainage were added.
This disease often has a fatal course. We need to provide an appropriate early treatment and repeated incision with drainage in accordance with an increase in the inflammatory area.
