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SAS Journal of Surgery | Volume-12 | Issue-04
Fournier’s Gangrene: Retrospective Study
T. Azzouzi, B. Jounid, A. Outouzalt, Z. Naimi, Y. Hadrami, A. Moussaid, T. Bami, H. Hidane, M. Taoubane, Habbab, Hamri, Narjis,Benelkhaiat
Published: April 6, 2026 | 47 32
Pages: 275-277
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Abstract
Fournier’s gangrene is a rapidly progressive necrotizing fasciitis of the perineum, associated with a considerable mortality rate and representing a medical and surgical emergency. We report a retrospective study including 10 patients managed at our department between 2021 and 2024. The mean age was 52 years, and a risk factor was identified in 8 patients, mainly diabetes, a history of anal abcess, and hemorrhoidal disease. The mean time of consultation was 14 days. Four patients were admitted at the stage of established gangrene, including two in septic shock. All received resuscitation, broad spectrum antibiotic therapy, and urgent surgical deridement. With secondary reconstruction performed in three patients. The prognosis depended mainly on the patient’s underlying conditions, the delay in management, and the extent of the lesions, highlighting the importance of early and aggressive treatment.