Fournier’s Gangrene in a 29-Year-Old Male with Crohn’s Disease: A Rapidly Progressing Necrotizing Fasciitis of the Perineum
Fournier’s Gangrene in a 29-Year-Old Male with Crohn’s Disease: A Rapidly Progressing Necrotizing Fasciitis of the Perineum 크론병을 앓고 있는 29세 남성의 푸르니에 괴저: 회음부의 급속 진행성 괴사성 근막염 Keywords: Fournier’s gangrene, necrotizing fasciitis, perineal infection, scrotal swelling, gas in soft tissue, urologic emergency, Crohn’s disease, surgical debridement Introduction Fournier’s gangrene is a fulminant and potentially fatal form of necrotizing fasciitis affecting the perineum, perianal, and genital regions , predominantly in males. Although it is typically seen in older patients with comorbidities such as diabetes or alcoholism, it can occur in younger individuals with predisposing conditions such as Crohn’s disease , as highlighted in this case of a 28-year-old man presenting with acute scrotal swelling. Case Summary A 29-year-old man with Crohn’s disease presented to the emergency department with rapidly worsening scrotal swelling . Initial evaluation included scrotal ultrasonography with...