RT Journal Article
SR Electronic
T1 Fournier’s gangrene in an obese female in third trimester of pregnancy
JF Saudi Medical Journal
JO Saudi Med J
FD Prince Sultan Military Medical City
SP 415
OP 418
DO 10.15537/smj.2018.4.21780
VO 39
IS 4
A1 Althunayyan, Saqer
A1 Karamitosos, Evangelos
YR 2018
UL http://smj.org.sa/content/39/4/415.abstract
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.