Fournier gangrene from a thirty-two-centimeter rectosigmoid foreign body

Getahun Abate, Shirin Mazumder, Vivek Kandanati

Research output: Contribution to journalArticle

Abstract

Background: Medical and surgical problems associated with rectal foreign bodies are rare. Although most rectal foreign bodies can be removed without subsequent sequelae, they pose significant risk of infection. Objectives: We report a patient with a 32-cm rectosigmoid foreign body and subsequent development of Fournier gangrene despite successful removal of the foreign body. Case Report: A 63-year-old Caucasian man with past medical history of diabetes mellitus and depression presented with a chief complaint of "something stuck in my intestine." He admitted that he placed a foreign body in the rectum. Abdominal X-ray study and computed tomography of the abdomen/pelvis showed a conical-shaped 32-cm rectosigmoid foreign body. The foreign body was removed manually and follow-up colonoscopy was done. The patient's condition deteriorated in the first 2 days of hospital stay and he was diagnosed with Fournier gangrene. He required multiple surgeries and received broad-spectrum antibiotic coverage for mixed bacterial flora grown from deep tissue. Conclusion: Rectal foreign bodies can cause Fournier gangrene. A close observation and follow-up is important after removal of rectal foreign bodies.

Original languageEnglish (US)
JournalJournal of Emergency Medicine
Volume44
Issue number2
DOIs
StatePublished - Feb 1 2013
Externally publishedYes

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Fournier Gangrene
Foreign Bodies
X Ray Computed Tomography
Colonoscopy
Pelvis
Rectum
Abdomen
Intestines
Length of Stay
Diabetes Mellitus
Observation
Anti-Bacterial Agents

All Science Journal Classification (ASJC) codes

  • Emergency Medicine

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Fournier gangrene from a thirty-two-centimeter rectosigmoid foreign body. / Abate, Getahun; Mazumder, Shirin; Kandanati, Vivek.

In: Journal of Emergency Medicine, Vol. 44, No. 2, 01.02.2013.

Research output: Contribution to journalArticle

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