Unusual cause of Fournier's gangrene: colorectal-genitourinary tract fistulae status post brachytherapy.
BMJ Case Rep
; 13(10)2020 Oct 30.
Article
in En
| MEDLINE
| ID: mdl-33127733
ABSTRACT
There are few reports of radiation associated colorectal-genitourinary tract (CRGU) fistulae causing Fournier's gangrene (FG). We describe a case of FG in a patient with possibly two CRGU fistulae in the context of previous high-dose brachytherapy and external beam radiation therapy for prostate cancer. Unfortunately, CRGU fistulae are not well classified as significant risk factors for the development of FG. Our case demonstrates the rationale for maintaining a broad differential in patients presenting with recurrent urinary tract symptoms or necrotising soft tissue infections to include undiagnosed fistulae.
Key words
Full text:
1
Collection:
01-internacional
Database:
MEDLINE
Main subject:
Brachytherapy
/
Intestinal Fistula
/
Urinary Fistula
/
Colonic Diseases
/
Fournier Gangrene
/
Genital Diseases, Male
Type of study:
Diagnostic_studies
/
Etiology_studies
/
Risk_factors_studies
Limits:
Humans
/
Male
/
Middle aged
Language:
En
Journal:
BMJ Case Rep
Year:
2020
Document type:
Article
Affiliation country:
United States