Fournier's Gangrene: Epidemiological, Clinical And Therapeutic Aspects At The General Surgery Department Of The Ignace Deen National Hospital
Kaba Mohamed, Konaté Adama, Moussa Diakité, Camara Sayon Karifa, Keita Doubany Mariame, Diawara Albert Mohamed, Barry Thierno Illah, Konaté Lancinet, Camara Emile, Diallo Amadou, Condé Ansoumane, Kondano Saa Yao, Fofana Naby, Fofana Housseine, Touré Aboubacar
Introduction: The aim was to determine the epidemiological, clinical and therapeutic aspects of
Fournier's Gangrene in the General Surgery Department of the Ignace Deen National Hospital.
Patients and methods: This was a retrospective descriptive study lasting 5 years from January 1, 2018
to December 31, 2022, on the files of patients operated on for Fournier's gangrene.
Results: We collected 26 cases of Fournier's gangrene, representing a frequency of 0.5% of the reasons
for surgical interventions. The mean age was 49.08 ± 16.87 years with extremes of 26 and 77 years.
There was a male predominance of 92.3% with a sex ratio of 12. The clinical picture was dominated by
pain (100%), large scrotum (100%) and edema (80.7%). Risk factors were dominated by diabetes and
age (60 years). Medical treatment was dominated by antibiotic therapy and rehydration solutions. The
result of surgical treatment was satisfactory in 84.6% of cases, the main complication was septic shock
3 cases (11.5%), followed by anemia 1 case (3.8%), mortality was 4 cases or 15.3%.
Conclusion: Fournier's gangrene is a medical-surgical or urological emergency, it is a serious and
rare condition. The prognosis is conditioned by the early diagnosis and management of the extension of
gangrene and the often associated comorbidities.
