009Te 25M Fournier’s Gangrene 25 year Obese Male presents with Groin Pain on Inner Thigh 25 Year Old Obese Male with Necrotizing Polymicrobial Fascitis Axial CT scan through the pelvis shows inflammatory changes characterized by induration along the right spermatic cord in a patient with necrotizing polymicrobial fasciitis (Fournier’s gangrene)Ashley Davidoff MD 133765 Axial CT scan through the pelvis shows severe inflammatory changes characterized by gas in the tissues of the right scrotum associated with induration along the right scrotal sac in a patient with necrotizing polymicrobial fasciitis (Fournier’s gangrene)Ashley Davidoff MD 1337657 Axial CT scan through the pelvis shows severe inflammatory changes characterized by gas in the tissues of the right scrotum and along the penis associated with induration along the right scrotal sac in a patient with necrotizing polymicrobial fasciitis (Fournier’s gangrene)Ashley Davidoff MD 133768 Coronal CT scan through the pelvis shows severe inflammatory changes characterized by gas in the tissues of the right groin associated with induration along the right spermatic cord and scrotal sac in a patient with necrotizing polymicrobial fasciitis (Fournier’s gangrene)Ashley Davidoff MD 133774 Coronal CT scan through the pelvis shows severe inflammatory changes characterized by gas in the tissues of the along the penis associated with induration along the right scrotal sac in a patient with necrotizing polymicrobial fasciitis (Fournier’s gangrene)Ashley Davidoff MD 133772 US in the transverse plane through both testes in a 25-year-old male presenting with acute pain shows extensive soft tissue changes and hyperemia of the skin overlying the testes consistent severe cellulitis. The study was too painful and could not be completed. The patient was diagnosed with necrotizing polymicrobial fasciitis (Fournier’s gangrene)Ashley Davidoff MD 133758c 6 days Later Following Debridement 6 days later following unsuccessful debridement the process progressed clinically. CT scan through the pelvis shows severe progressive inflammatory changes characterized by spread to the left hemiscrotum, with gas in the tissues and extensive induration. The patient has a diagnosis of necrotizing polymicrobial fasciitis (Fournier’s gangrene)Ashley Davidoff MD 133783 6 days later following unsuccessful debridement the process progressed clinically. CT scan through the pelvis shows severe progressive inflammatory changes characterized by focal hemorrhage, possibly iatrogenic, spread to the left hemiscrotum, with gas in the tissues with extensive induration. The patient has a diagnosis of necrotizing polymicrobial fasciitis (Fournier’s gangrene)Ashley Davidoff MD 133784 6 days later following unsuccessful debridement the process progressed clinically. Coronal CT scan through the pelvis shows severe progressive inflammatory changes characterized by focal hemorrhage, possibly iatrogenic, spread to the left hemiscrotum, with gas in the tissues with extensive induration. The patient has a diagnosis of necrotizing polymicrobial fasciitis (Fournier’s gangrene)Ashley Davidoff MD 133791 6 days later following unsuccessful debridement the process progressed clinically. Axial CT scan through the pelvis shows bilateral hydrocelesAshley Davidoff MD 133788 Links and References Radiopedia