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Contemporary non-surgical approach for faecal diversion in a case of Fournier's gangrene.

Harsh ShethShilpa Ashutosh RaoKarthik Venkataramani
Published in: BMJ case reports (2017)
Fournier's gangrene is a fatal necrotising fasciitis of the perineum, genitals and lower abdomen. Patients often need an aggressive surgical debridement, and in few cases, a diverting colostomy. We report the case of a 70-year-old man with multiple comorbidities diagnosed with Fournier's gangrene, who underwent debridement and had a wound complication due to faecal contamination. A novel, self-retaining rectal device was used to perform faecal diversion, which subsequently showed wound healing within a week, hence avoiding the need of a colostomy.
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