A Novel Approach to a Rare Case of Fournier’s Gangrene Involving the Space of Retzius
Published: 2024-02-02
Page: 30-35
Issue: 2024 - Volume 7 [Issue 1]
Ong Jianming Calvin *
Department of General Surgery, Changi General Hospital, 2 Simei Street 3, 529889, Singapore.
Amanda See Huimin
Department of General Surgery, Changi General Hospital, 2 Simei Street 3, 529889, Singapore.
Ramesh Wijaya
Department of General Surgery, Changi General Hospital, 2 Simei Street 3, 529889, Singapore.
Sulaiman Bin Yusof
Department of General Surgery, Changi General Hospital, 2 Simei Street 3, 529889, Singapore.
*Author to whom correspondence should be addressed.
Abstract
Fournier’s gangrene is a type of necrotizing fasciitis involving the perineal, perianal or genital areas that is rapidly progressive and life-threatening. Treatment involves urgent surgical debridement as well as antibiotic therapy. We report a rare case of Fournier’s gangrene of the perianal region which extended up the left pararectal and paravesical space to involve the space of Retzius. This was managed in a novel and minimally invasive approach which avoided the need for a laparotomy and its associated morbidity.
Keywords: Fourniers, retzius, minimally, invasive