Fulminant Fournier's gangrene following perineal trauma in a patient with suspected chronic inflammatory bowel disease: a case report.

What To Know

This abstract reports a case of Fournier’s gangrene (a rapidly progressive necrotizing infection of the perineum) in a 35-year-old man with suspected chronic inflammatory bowel disease.

The infection followed perineal trauma during sexual intercourse and use of a vasoconstrictor, and required multiple staged urologic surgeries including radical debridement and later reconstructive procedures using skin grafts and flaps.

The report highlights severe sepsis, mixed microbiology, and multi-stage complications such as urethral fistula and impaired erections, and notes conventional wound management without VAC or hyperbaric oxygen. The authors discuss reconstructive choices and impacts on quality of life after multiple operations.

This is a single case report (abstract-level summary) and does not provide generalizable outcomes or treatment comparisons. It is useful as a clinical illustration of a rare but severe complication in a patient with active intestinal inflammation.