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Fournier gangrene in puerperas after cesarean section

[Notes from practice]
Valery Ryzhkov; Susanna Gasparyan; Tatiana Derevyanko; Anatolii Kopylov; Karina Aleksandrovna Papikova; Ants Pydra; Nadezhda Ivanovna Pivovarova; Larisa Petrovna Gordeeva;

Fournier gangrene is a form of necrotizing fasciitis that mainly affects men suffering from immunodeficiency after surgeries of the genitals and perineum. Literature data on the occurrence of this complication in women are rare, and there are no data in obstetric practice. Herein, we present a clinical case of severe sepsis with an unfavorable outcome owing to anterior abdominal wall phlegmon (Fournier phlegmon) in a puerperal woman after cesarean section.

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References:
1. Urology: National guidance. Ed. N. A. Lopatkin. Moscow: GEOTAR-Media Publ. 2009;582-583.
2. Ephimenko M. A., Privolnev V. V. Fournier’s gangrene. Clinical Microbiology and Antimicrobial Chemotherapy. 2008;10(1):34-42.
3. Ekelius L., Bjorkman H., Kalin M., Fohlman J. Fournier’s gangrene after genital piersing. Scand. J. Infect. Dis. 2004;36:610-612. https://doi.org/10.1080/00365540410017086
4. Mouraviev V. B., Pautier S. E., Hauman W. P. Fournier’s gangrene following penile self-injection with cocaine. Scand. J. Urol. Nephrol. 2002;36:31:7-8. https://doi.org/10.1080/003655902320248326
5. Yegorkin M. A. Fournie’s disease and anaerobic paraproctitis – different clinical forms of same pathological process? News of Coloproctology. – Novosti koloproktologii. 2012;22(4):66-72.
6. Amr A., Sajad S. Fournier’s gangrene – Case report and a brief review. Journal of Pakistan Association of Dermatologists. 2015;25:44-51.
7. Tahmaz L., Erdemir F., Kibar V., Cosar Ah., Yalcyn O. Fournier’s gangrene: report of thirty-three cases and a review of the literature. Int. Urol. 2006;13(7):960-967. https://doi.org/10.1111/j.1442-2042.2006.01448.x
8. Thwaini A., Khan A., Malik A. Cherian J., Barua J. [et al.] Fournier’s gangrene and it’s emergency management. Postgraduate Medical Journal. 2006;82:516-519. https://doi.org/10.1136/pgmj.2005.042069
9. Grinev M. V., Soroka I. V., Grinev K. M. Fournier’s Gangrene – a model of necrotizing fasciitis (Clinical and pathogenetic aspects). Urologiya. 2007;6:69-75.
10. Unal B., Kocer B., Ozel E., Boskurt B., Yildirim O. [et al.] Fournier Gangrene Approaches to Diagnosis and Treatment. Saudi Med. 2006;27:1038-1043.
11. Сhinikov M. A., Tkachenko Yu. N., Bagdasaryan A. G., Dobrovolskii S. R. Successful treatment of patient with fournier’s phlegmon. Pirogov Russian Journal of Surgery. – Khirurgiya. Zhurnal im. N.I. Pirogova. 2007;11:53-54.
12. Yanar H., Taviloglu K., Ertekin C., Guloglu R., Zorba U. [et al.] Fournier’s gangrene: risk factors and strategies for management. World J. Surg. 2006;30:1750-1754. https://doi.org/10.1007/s00268-005-0777-3
13. Bordakov P. V., Bordakov V. N., Gain Yu. M., Shakhrai S. V., Gain M. Yu. Fournier’s gangrene: clinic, diagnostics, treatment. Wounds and wound infections. The prof. B. M. Kostyuchenok journal/ 2017;4(1):14-23. https://doi.org/10.17650/2408-9613-2017-4-1-14-23
14. Dzhamalov F. G., Nabieva E. V., Abdullayev M. M., Zakhidov Z. T., Baranov A. V. [et al.] Diagnosis and treatment of hangren Furnie (practical experience). Laser Medicine. 2018;22(2):39-42. https://doi.org/10.37895/2071-8004-2018-22-2
15. Novoshinov G. V., Sheremeteva A. A., Starchenkova L. P. Fournier Gangrene in a 1 Month old child. Russian Journal of Pediatric Surgery.2016;20(1):51-52. https://doi.org/10.18821/1560-9510-2016-20-21-51-52
16. Nickolsky V. I., Sergatsky K. I., Klimashevich A. V., Ogorodnik E. V. Rare causes of acute purulentinflammatory lesions of pararectal tissue and Fournier’s gangrene. Pirogov Russian Journal of Sergery. – Khirurgiya. 2020;(2):68-73. https://doi.org/10.17116/hirurgia202002168
17. Privolnev V. V., Zabrosaev V. S., Danilenkov N. V. Fournier’s gangrene (Review). Vestnik of Smolensk State Medical Academy. – Vestnik Smolenskoj gosudarstvennoj medicinskoj akademii. 2014;13(3):47-55.
18. Prohorov A. V. Fournier’s gangrene: modern approaches to treatment (literature review). Experimental and Clinical Urology. 2016;(2):106-117. https://doi.org/10.29188/2222-8543
19. Prokhorov A. V. Experience of Furnier’s gangrene clinical diagnostics. Kazan Medical Journal. 2016;97(1):159-162. https://doi.org/10.17750/KMJ2016-159
20. Priyma O. B. Treatment of patients with gangrene Fournier. Grekov’s Bulletin of Surgery. 2017;176(1):76-79. https://doi.org/10.24884/0042-4625-2017-176-1-76-79
21. Prokhorov A. V. The modern view of Fournier gangrene. Pacific Medical Journal. 2017;1:5-9. https://doi.org/10.17238/PmJ1609-1175.2017.1.5-9
22. Prokhorov A. V. Fournier’s Gangrene: the Criteria for Diagnosis, Prognostic Factors, Complications and Mortality. Journal of Experimental and Clinical Surgery. 2017;10:2:154-164. https://doi.org/10.18499/2070-478X-2017-10-2-154-164
23. Prokhorov A. V. Fournier’s gangrene. Сlinical and laboratory picture (literature review). Experimntal and clinical urology. 2016;1:78-89. https://doi.org/10.29188/2222-8543

Keywords: cesarean section, fournier gangrene, sepsis


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