[Fournier gangrene: our experience]. / Gangrena de Fournier: nuestra experiencia.

OBJECTIVE: Fournier's gangrene is a necrotizing fasciitis involving the genitoperineal region caused by the synergistic action of aerobic and anaerobic pathogens. It is a rapidly progressing disease and carries a high mortality. Our experience with Fournier's gangrene is presented. METHODS: Herein we describe 11 cases of Fournier's gangrene that were diagnosed and treated from 1991 to 1996. The most important predisposing factor was diabetes mellitus and the most common triggering factor was a perianal condition. RESULTS/CONCLUSIONS: The survival rate was high (81%) and can be ascribed to early diagnosis, aggressive and rapid surgical treatment with debridement, resection of the necrotic areas, drainage, simultaneous broad spectrum antibiotic therapy and frequent local treatment.

[Ectopic left ureter emptying into the ipsilateral seminal vesicle: diagnosis with nuclear magnetic resonance]. / Desembocadura ectópica ureteral izquierda en vesícula seminal ipsilateral: diagnóstico por resonancia magnética nuclear.

We report on a 35-year-old male patient with ectopic left ureter entering the seminal vesicle associated with ipsilateral renal dysplasia who consulted for pain in the left renal fossa, painful ejaculation and recurrent episodes of left epididymitis. Patient evaluation included cystoscopy, urography, CT and MRI. However, only MRI showed precise images of the trajectory of the ectopic ureter, thereby obviating the need for other invasive diagnostic techniques and permitting surgical correction of the anomaly.