A case of fournier's gangrene

A 38-year-old male with abdominal and scrotal gangrene was admitted to our hospital because of the disturbance of his consciousness. Medical history was significant for neurogenic bladder with paraplasia secondary to spinal cord injury 7 years previously, treated with intermittent selfcatheterization. Based on clinical and radiological findings, the diagnosis of Fournier's gangrene and postrenal renal failure was made. Under general anesthesia, bilateral percutaneous nephrostomy was made and multiple incisions and drainage of the gangrene were performed. Diabetes melidus and spinal cord injury were thought to contribute to the onset of Fournier's gangrene.