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Diseases of the Colon & Rectum
Published in: Diseases of the Colon & Rectum 10/2004

01-10-2004 | Case Reports

Fournier’s Gangrene after Milligan-Morgan Hemorrhoidectomy Requiring Subsequent Abdominoperineal Resection of the Rectum: Report of a Case

Authors: Marcus Lehnhardt, M.D., Lars Steinstraesser, M.D., Daniel Druecke, M.D., Thomas Muehlberger, M.D., Ph.D., Hans U. Steinau, M.D., Ph.D., Heinz H. Homann, M.D.

Published in: Diseases of the Colon & Rectum | Issue 10/2004

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Abstract

The development of Fournier’s gangrene after Milligan-Morgan hemorrhoidectomy of a previously healthy 76-year-old female patient is described. After such a common surgical procedure, the patient developed full-thickness skin necrosis of the perianal region including the rectum. Immediate radical debridement was mandatory. Because of rectal involvement, a diverting sigmoid colostomy was required. The rectum had to be removed by abdominoperineal resection. This disastrous complication was completely unexpected and unpredictable after Milligan-Morgan hemorrhoidectomy because of the lack of predisposing factors.
Literature
1.
Fournier, JA 1988Jean-Alfred Fournier 1832-1914. Gangrene foudroyante de la verge (overwhelming gangrene)Dis Colon Rectum319848PubMed
2.
Masek, M, Zak, J 2001Fournier’s gangreneBratisl Lek Listy102467PubMed
3.
Yang, SC, Wu, TJ 2001Fournier’s gangrene—Taiwan experienceZhonghua Yi Xue Za Zhi6423943PubMed
4.
Kilic, A, Aksoy, Y, Kilic, L 2001Fournier’s gangrene: etiology, treatment, and complicationsAnn Plast Surg475237PubMed
5.
Kaulbars, E 1993Fournier’s gangrene. Case report and review of the literatureChirurg64637PubMed
6.
Cihan, A, Mentes, BB, Sucak, G, Karamercan, A, Naznedar, R, Ferahkose, Z 1999Fournier’s gangrene after hemorrhoidectomy: association with drug-induced agranulocytosis. Report of a caseDis Colon Rectum4216448PubMed
7.
Bonner, C, Prohm, P, Storkel, S 2001Fournier gangrene as a rare complication after stapler hemorrhoidectomy. Case report and review of the literatureChirurg7214646CrossRefPubMed
8.
Basoglu, M, Gul, O, Yildirgan, I, Balik, AA, Ozbey, I, Oren, D 1997Fournier’s gangrene: review of fifteen casesAm Surg63101921PubMed
9.
Tazi, K, Karmouni, T, Fassi, J,  et al. 2001Perineoscrotal gangrene: report of 51 cases. Diagnostic and therapeutic featuresAnn Urol (Paris)3522933
10.
Yaghan, RJ, Al-Jaberi, TM, Bani-Hani, I 2000Fournier’s gangrene: changing face of the diseaseDis Colon Rectum4313008PubMed
11.
Khader, K, Fassi, J, Nouri, M, Ibn Attya, A, Hachimi, M, Lakrissa, A 1997Fournier’s gangrene. Analysis of 32 casesJ Urol (Paris)103324
12.
Benchekroun, A, Lachkar, A, Bjijou, Y,  et al. 1997Gangrene of the external genital organs. Apropos of 55 casesJ Urol (Paris)1032731
13.
Stephens, BJ, Lathrop, JC, Rice, WT, Gruenberg, JC 1993Fournier’s gangrene: historic (1764-1978) versus contemporary (1979-1988) differences in etiology and clinical importanceAm Surg5914954PubMed
14.
Sanchez-Mazzaferri, F, Fadil-Iturralde, J,  et al. 1999Fournier’s gangrene. Our experience over 10 years. A review of the literatureArch Esp Urol527217PubMed
15.
Dewire, DM, Bergstein, JM 1992Carcinoma of the sigmoid colon: an unusual cause of Fournier’s gangreneJ Urol1477112PubMed
16.
Flanigan, RC, Kursh, ED, McDougal, WS, Persky, L 1978Synergistic gangrene of the scrotum and penis secondary to colorectal diseaseJ Urol11936971PubMed
17.
18.
Gaeta, M, Volta, S, Minutoli, A, Bartiromo, G, Pandolfo, I 1991Fournier gangrene caused by a perforated retroperitoneal appendix: CT demonstrationAJR Am J Roentgenol1563412PubMed
19.
Spirnak, JP, Resnick, MI, Hampel, N, Persky, L 1984Fournier’s gangrene: report of 20 patientsJ Urol13128991PubMed
20.
Moreira, CA, Wongpakdee, S, Gennaro, AR 1975A foreign body (chicken bone) in the rectum causing extensive perirectal and scrotal abscess: report of a caseDis Colon Rectum184079PubMed
21.
O’Hara, VS 1980Fatal clostridial infection following hemorrhoidal bandingDis Colon Rectum235701PubMed
22.
Russel, TR, Donohue, JH 1985Hemorrhoidal banding. A warningDis Colon Rectum282913PubMed
23.
Clay, LD,III, White, JJ,Jr, Davidson, JT, Chandler, JJ 1986Early recognition and successful management of pelvic cellulitis following hemorrhoidal bandingDis Colon Rectum2957981PubMed
24.
Gutmann, H, Gonen, P, Deutsch, AA 1989Complications of anal dilatation for acute anal fissure (letter)Dis Colon Rectum32545
25.
Cunningham, BL, Nivatvongs, S, Shons, AR 1979Fournier’s syndrome following anorectal examination and mucosal biopsyDis Colon Rectum22514PubMed
26.
Milligan, ETC, Morgan, CN, Jones, LE, Officer, R 1937Surgical anatomy of the anal canal and the operative treatment of haemorrhoidsLancet13111924CrossRef
27.
Herold, A, Kirsch, JJ 2001Differential surgical therapy in hemorrhoidsKongressbd Dtsch Ges Chir Kongr1183158PubMed
28.
29.
30.
Stelzner, F 1992Hemorrhoidectomy: a simple operation? Incontinence, stenosis, fistula, infection and fatalitiesChirurg6331626PubMed
31.
MacFarlane, C, Cronje, FJ 2002Hyperbaric oxygen and surgeryS Afr J Surg3911721
32.
Riseman, JA, Zamboni, WA, Curtis, A, Graham, DR, Konrad, HR, Ross, DS 1990Hyperbaric oxygen therapy for necrotizing fasciitis reduces mortality and the need for debridementsSurgery10884750PubMed
33.
Clark, LA, Moon, RE 1999Hyperbaric oxygen in the treatment of life-threatening soft-tissue infectionsRespir Care Clin N Am520319PubMed
Metadata
Title
Fournier’s Gangrene after Milligan-Morgan Hemorrhoidectomy Requiring Subsequent Abdominoperineal Resection of the Rectum: Report of a Case
Authors
Marcus Lehnhardt, M.D.
Lars Steinstraesser, M.D.
Daniel Druecke, M.D.
Thomas Muehlberger, M.D., Ph.D.
Hans U. Steinau, M.D., Ph.D.
Heinz H. Homann, M.D.
Publication date
01-10-2004
Publisher
Springer-Verlag
Published in
Diseases of the Colon & Rectum / Issue 10/2004
Print ISSN: 0012-3706
Electronic ISSN: 1530-0358
DOI
https://doi.org/10.1007/s10350-004-0616-x

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