This paper is only available as a PDF. To read, Please Download here.
Abstract
Progressive spread of necrosis in the skin and subcutaneous tissues of the scrotum
is the key feature of idiopathic scrotal gangrene. The disease may present initially
as an acute abdomen, but laparotomy should be avoided. Usually an anaerobic Streptococcus
is found, acting in synergism with aerobic, frequently gram-negative, bacilli. As
in other synergistic gangrenes, wide debridement with drainage of all sinus tracts
is required.
Although the testicles are frequently bared, they are usually not necrotic and should
not be amputated. Once the infection has resolved, a surprising amount of skin coverage,
including coverage of the testicles, can often be obtained from the scrotal remnants.
To read this article in full you will need to make a payment
Purchase one-time access:
Academic & Personal: 24 hour online accessCorporate R&D Professionals: 24 hour online accessOne-time access price info
- For academic or personal research use, select 'Academic and Personal'
- For corporate R&D use, select 'Corporate R&D Professionals'
Subscribe:
Subscribe to The American Journal of SurgeryAlready a print subscriber? Claim online access
Already an online subscriber? Sign in
Register: Create an account
Institutional Access: Sign in to ScienceDirect
References
- Idiopathic gangrene of scrotum.Lancet. 1945; 1: 464
- Idiopathic gangrene of the scrotum: with report of a case and review of the literature.J Urol. 1930; 23: 125
- Gangrene of scrotum and penis.Br J Surg. 1962; 49: 619
- Idiopathic gangrene of the scrotum.J Urol. 1920; 4: 219
- Scrotal gangrene.Urology. 1973; 1: 466
- Fournier's gangrene.Br J Urol. 1955; 27: 106
- Fournier's gangrene.Plast Reconstr Surg. 1964; 33: 84
- Gangrene of the genitalia as seen in advanced peri-urethral extravasation with phlegmon.J Urol. 1960; 84: 741
- Anatomical study and clinical consideration of the fasciae limiting urinary extravasation from the penile urethra.Surg Gynecol Obstet. 1944; 79: 195
- Fournier's gangrene.Br J Urol. 1955; 27: 116
- Fournier's gangrene of the penis and scrotum.J Urol. 1956; 75: 719
- Fournier's gangrene.Mod Treat. 1970; 7: 1049
- Necrotizing infections of subcutaneous tissue and fascia.Ann Surg. 1968; 168: 274
- Human bite infections of the hand.South Med J. 1966; 59: 515
- Necrotizing fascitis.J Trauma. 1964; 4: 168
- Synergistic necrotizing cellulitis.Ann Surg. 1972; 175: 702
- Progressive bacterial synergistic gangrene: chronic undermining ulcer of Meleney.Can J Surg. 1967; 10: 439
- Bacterial synergism in disease processes with a confirmation of the synergistic bacterial etiology of a certain type of progressive gangrene of the abdominal wall.Ann Surg. 1931; 94: 961
- A differential diagnosis between certain types of infectious gangrene of the skin with particular reference to haemolytic streptococcus gangrene and bacterial synergistic gangrene.Surg Gynecol Obstet. 1933; 56: 847
- Gangrene of the scrotum: an analysis of ten cases.Br J Plast Surg. 1967; 20: 90
- The movements and innervation of the small intestine.J Physiol. 1899; 24: 99
- Physiologic observations on experimentally produced ileus.JAMA. 1907; 49: 840
- Neural and hormonal influences of peritonitis on paralytic ileus.Am Surg. 1967; 33: 756
Article info
Identification
Copyright
© 1975 Published by Elsevier Inc.
