Fournier’s Gangrene after Bilateral Vasectomy-A Case Report

Authors

  • Aabishkar Bhattarai Kaski Model Hospital, Pokhara https://orcid.org/0000-0003-3669-1707
  • Bijaya Karki Birat Medical College and Teaching Hospital
  • Pragya Bhandari Manipal College of Medical Sciences

DOI:

https://doi.org/10.3126/bjhs.v5i2.31527

Keywords:

Fournier’s gangrene, Surgical debridement, Vasectomy

Abstract

Fournier’s gangrene is an acute, rapidly progressing, potentially fatal necrotizing fasciitis affectingthe external genitalia, perineal or perianal regions and is caused by a mixed infection with aerobic/anaerobic bacteria, which commonly affects the men, but can also occur in women and children. The most common foci of infection are from gastrointestinal tract, genitourinary tract or less commonly from the cutaneous injuries. The common risk factors includediabetes mellitus,alcohol abuse, extremes of age, male gender, chronic steroid use, malnutrition and immunosuppression. Uncommonly, Fournier’s gangrene has been documented after vasectomy operation-a permanent technique for male partner sterilization. Here we present a case of Fournier’s gangrene in an adult male who had undergone bilateral standard vasectomy for permanent contraception and presenting after 7 days with gangrene in the scrotum requiring urgent debridement and broad-spectrum antibiotics.

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Author Biographies

Aabishkar Bhattarai, Kaski Model Hospital, Pokhara

Medical Officer, Department of Emergency Medicine and Intensive Care Unit

Bijaya Karki, Birat Medical College and Teaching Hospital

Medical Officer/ Department of Intensive Care Unit

Pragya Bhandari, Manipal College of Medical Sciences

Medical Officer, Department of Internal Medicine

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Published

2020-10-01

How to Cite

Bhattarai, A., Karki, B., & Bhandari, P. (2020). Fournier’s Gangrene after Bilateral Vasectomy-A Case Report. Birat Journal of Health Sciences, 5(2), 1122–1125. https://doi.org/10.3126/bjhs.v5i2.31527

Issue

Section

Case Reports