Reconstruction of the Perineum after Fournier Gangrene in a Child: A Case Report

Background: Fournier’s gangrene (FG) is a necrotizing cellulitis of the perineum and external genitalia. It is most described in adults, although pediatric cases have been described. FG is a life-threatening medical and surgical emergency. After the acute phase, the real challenge lies in reconstructing the perineum. Aim: The aim of this was to describe our management of FG and to review the literature. Case Presentation: This was a 12-year-old patient seen for FG and treated initially with triantibiotic therapy, excison of the necrosis and colostomy. Then construction of the perineum by skin grafting with a satisfactory aesthetic result. Conclusion: Skin grafting is a very good therapeutic option for reconstruction of the perineum in FG.

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Journal
Open Journal of Pediatrics
Published
2025-01-01
DOI
https://doi.org/10.4236/ojped.2025.153034
Primary Topic
Streptococcal Infections and Treatments
Type
article
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article

Reconstruction of the Perineum after Fournier Gangrene in a Child: A Case Report

Tembely Samba, Koffi Koffi Maxime, Antônio Carlos Bernabé, Dieth Atafy Gaudens et al.
Open Journal of Pediatrics
Streptococcal Infections and Treatments
article

Reconstruction of the Perineum after Fournier Gangrene in a Child: A Case Report

Tembely Samba, Koffi Koffi Maxime, Antônio Carlos Bernabé, Dieth Atafy Gaudens, M. Marie, Yéo Sitienehin, N’Guessan Jules, Pian Yann Yvan
article en

Abstract

Background: Fournier’s gangrene (FG) is a necrotizing cellulitis of the perineum and external genitalia. It is most described in adults, although pediatric cases have been described. FG is a life-threatening medical and surgical emergency. After the acute phase, the real challenge lies in reconstructing the perineum. Aim: The aim of this was to describe our management of FG and to review the literature. Case Presentation: This was a 12-year-old patient seen for FG and treated initially with triantibiotic therapy, excison of the necrosis and colostomy. Then construction of the perineum by skin grafting with a satisfactory aesthetic result. Conclusion: Skin grafting is a very good therapeutic option for reconstruction of the perineum in FG.

Open Journal of PediatricsVol. 15(03)
Université Félix Houphouët-Boigny (CI)
Openalex Percentile: Top 84%
Streptococcal Infections and Treatments
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