Fournier gangrene associated with Crohn disease

被引：16

作者：

Jiang, T

Covington, JA

Haile, CA

Murphy, JB

Rotolo, FS

Lake, AM

机构：

[1] Greater Baltimore Med Ctr, Dept Med, Baltimore, MD 21204 USA

[2] Greater Baltimore Med Ctr, Hospitalist Grp, Baltimore, MD 21204 USA

[3] Greater Baltimore Med Ctr, Dept Surg, Baltimore, MD 21204 USA

[4] Greater Baltimore Med Ctr, Dept Pediat, Baltimore, MD 21204 USA

来源：

MAYO CLINIC PROCEEDINGS | 2000年 / 75卷 / 06期

关键词：

D O I：

10.4065/75.6.647

中图分类号：

R5 [内科学];

学科分类号：

1002 ; 100201 ;

摘要：

A 17-year-old boy presented with Fournier gangrene associated with previously undiagnosed Crohn ileocolitis, Fournier gangrene was managed by debridement, broad-spectrum antibiotics, and hyperbaric oxygen. A diverting ileostomy was performed before skin grafting and scrotal reconstruction. Microscopy of a full-layer surgical sample from the terminal ileum revealed granulomas with multinucleated histiocytes, consistent with Crohn disease. Crohn disease was treated with mesalamine, metronida-zole, 6-mercaptopurine, and infliximab, The patient was discharged on hospital day 32, At 6-month follow-up, reconstruction of his scrotum had completely healed. Ostomy output was normal.

引用

页码：647 / 649

页数：3

共 16 条

[1]

Brings HA, 1997, AM SURGEON, V63, P401

[2] FOURNIERS SYNDROME FOLLOWING ANORECTAL EXAMINATION AND MUCOSAL BIOPSY [J].