Fournier’s Gangrene Induced by Rectal Cancer

Author: Chi Hyeon CHOI ¹ ; Dong Wook KIM ; Jong Yoon LEE ; Jong Hoon LEE ; Hye Ryeon KIM
Author Information

1. Departments of Internal Medicine, Dong-A University College of Medicine, Busan, Korea
Publication Type:CASE REPORT
From: Journal of Digestive Cancer Research 2024;12(2):131-136
CountryRepublic of Korea
Language:English
Abstract: Fournier’s gangrene (FG) is a necrotizing fasciitis of the perianal, perineal, and genital regions, leading to necrosis of the fascia and subcutaneous tissue. It is a rare condition, particularly when induced by rectal cancer. Herein, we present a rare case in which FG was discovered incidentally during the physical examination of a patient who complained of general weakness. The patient was diagnosed with FG induced by rectal cancer with liver metastasis and underwent laparoscopic diverting loop ileostomy instead of abdominoperineal resection (APR). After 13 rounds of chemotherapy over 9 months, the condition of the rectal cancer partially improved.Furthermore, FG lesions showed improvement with this treatment plan compared to the initial treatment with dressings and antibiotics. Therefore prompt surgical intervention is important for treating FG induced by rectal cancer.