PT  - JOURNAL ARTICLE
AU  - Althunayyan, Saqer
AU  - Karamitosos, Evangelos
TI  - Fournier’s gangrene in an obese female in third trimester of pregnancy
AID  - 10.15537/smj.2018.4.21780
DP  - 2018 Apr 01
TA  - Saudi Medical Journal
PG  - 415--418
VI  - 39
IP  - 4
4099  - http://smj.org.sa/content/39/4/415.short
4100  - http://smj.org.sa/content/39/4/415.full
SO  - Saudi Med J2018 Apr 01; 39
AB  - Fournier gangrene is a rapidly progressive necrotizing fasciitis of the perianal and genitourinary area. Although typically affects men, we present here a rare disease founding in a pregnant woman. An obese 36-year-old female patient in her third trimester of pregnancy presented with a history of perianal pain and swelling. She was subsequently diagnosed with Fournier gangrene and underwent emergency cesarean section with a surgical debridement. The key to successful outcomes in such a complicated presentation of Fournier gangrene includes a high index of suspicion, fluid resuscitation, rapid administration of broad-spectrum antibiotics, and an early interdisciplinary approach by multiple teams. This helps share decisions and balance the risk-benefit of the emergency caesarian section without delaying the surgical debridement.