INTRODUÇÃO: A gangrena de Fournier é uma fasciite necrosante sinérgica do períneo e parede abdominal, que tem origem no escroto e pênis, no homem. Abstract. MEHL, Adriano Antonio et al. Manejo da gangrena de Fournier: experiência de um hospital universitário de Curitiba. Rev. Col. Bras. Cir. [online]. 10 Jan Fournier gangrene was first identified in , when the French venereologist Jean Alfred Fournier described a series in which 5 previously.
|Published (Last):||6 July 2017|
|PDF File Size:||16.69 Mb|
|ePub File Size:||4.27 Mb|
|Price:||Free* [*Free Regsitration Required]|
Photograph of a morbidly obese male gangrena de fournier long-standing phimosis. In contrast to Fournier’s initial description, the disease is not limited to young people or to males, and a cause is now usually identified.
Gangrena de fournier of Fournier’s gangrene: Microorganism virulence results from the production of toxins or enzymes that create an ganrgena conducive to rapid microbial multiplication. Male diseases of the pelvis and genitals N40—N51— Fascial necrosis and digestion are hallmarks of this disease process; this is important to appreciate because it provides the surgeon with a clinical marker of the extent of tissue involvement.
D ICD – Courtesy of Thomas A. Em B e C, retalhos confeccionados.
Each parameter is assigned a score between gangrena de fournier and 4, with the higher values indicating greater deviation from normal. How to cite this article. West J Emerg Med.
Asherman’s syndrome Dysfunctional uterine bleeding Endometrial hyperplasia Endometrial polyp Endometriosis Endometritis. To date, gagrena majority of studies of Fournier gangrene gangrena de fournier been retrospective reviews. Trauma Contuso de Bexiga. Colles fascia is in continuity cephalad to the level of the clavicles.
Outcome prediction in patients with Fournier’s gangrene.
gangrena de fournier These foournier groups concluded that the mortality risk in general may be directly proportional to the age of the gangrena de fournier and the extent of disease burden and systemic toxicity upon admission.
Fournier’s gangrene following penile self-injection with cocaine. This infectious process involves the superficial and deep fascial planes of the genitalia.
Present to your audience Start remote presentation. In some studies, Fournier gangrene that originates from anorectal diseases carries a dd prognosis than cases caused by other factors. Examples include the following:.
Fournier’s syndrome: a year evaluation study
Rectal foreign body [ 22 ]. In the perineum, Scarpa fascia blends into Colles fascia also known as the superficial perineal fasciawhile it is continuous with Dartos fascia of gangrena de fournier penis and scrotum see the image below. The lower incidence in females may reflect better drainage of the perineal region through vaginal secretions.
Initial symptoms of Fournier gangrene include swelling or sudden pain in the scrotumfever, pallor and generalized weakness. Localized infection adjacent to a portal of entry is the inciting event in the development of Fournier gangrene.
In men, anal intercourse may increase risk of perineal infection, either from blunt trauma to the area or by spread of rectally carried microbes. Consultation with a psychiatrist may help gangrena de fournier patients deal with the emotional stress of an altered body image.
Fournier’s gangrene in childhood: Background InBaurienne originally described an idiopathic, rapidly progressive soft-tissue necrotizing process that led to gangrene of the male genitalia. Factors associated gangrena de fournier high mortality include an anorectal source, advanced age, extensive disease involving abdominal wall or thighsshock or sepsis at presentation, renal failure, and hepatic dysfunction.
Malignancy eg, acute leukemia [ 3031 ].
A deep fascia termed Buck fascia covers the erectile bodies of the penis, the corpora cavernosa, and the anterior urethra. Gangrena de fournier considered in the past an idiopathic condition, in most patients today a genitourinary, anorectal or dermal triggering factor can be identified. Female infertility Recurrent miscarriage. Os pacientes apresentavam idades entre 20 anos e 50 anos.
Testicular involvement is rare, as the testicular arteries fournirr directly from the aorta and thus have a blood supply separate from the affected region. Fournier’s gangrene in elderly patient: Crepitus has been gangrena de fournier. Fournier’s gangrene of the penis and the scrotum.