Catálogo de publicaciones - libros

The patient was undergoing a routine left radical nephrectomy through an 11th rib flank approach. Preoperative CT revealed a 7-cm central solid renal mass without renal vein or nodal involvement. MRI confirmed the CT and the inferior vena cava (IVC) was normal without tumor involvement.

Fournier’s gangrene is a rare but life-threatening, special form of dermal necrosis located in the genitourinary region. Mortality rates range from 4% to 43% in actual series ( Dahm et al. 2000 ; Mindrup et al. 2005 ; Yeniyol et al. 2004 ; Korkut et al. 2003 ; Burdal et al. 2003; Chawla et al. 2003 ; Asci et al. 1998 ; Nisbet and Tompson 2002 ; Corman et al. 1999 ; Korhonen et al. 1998 ; Hollabaugh et al. 1998 ; Benizri et al. 1996 ; Palmer et al. 1995 ). The main treatment principle is an immediate, extensive debridement of the entire necrotic tissue under concurrent broad-spectrum antibiotic therapy. Reconstruction can be performed only when the wound is free from infection. In this chapter, we report a case of Fournier’s gangrene caused by the deterioration of the blood supply caused by scrotal rings and discuss etiology, symptoms, and treatment of Fournier’s gangrene.