Unusual cause of Fournier's gangrene: colorectal-genitourinary tract fistulae status post brachytherapy.

Authors

Nabil Saleem, Maine Medical Center
William J Devan, Maine Medical Center
Daniel R Pitts, Maine Medical Center
Graham T VerLee, Maine Medical Center

Document Type

Article

Publication Date

10-30-2020

Institution/Department

Urology

Journal Title

BMJ Case Rep

MeSH Headings

Brachytherapy, Gangrene, Fournier Gangrene, Urogenital System, Urogenital Abnormalities, Fistula, Colorectal Neoplasms

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.

ISSN

1757-790X

Comments

William Devan- Resident

Recommended Citation

Saleem, Nabil; Devan, William J; Pitts, Daniel R; and VerLee, Graham T, "Unusual cause of Fournier's gangrene: colorectal-genitourinary tract fistulae status post brachytherapy." (2020). MaineHealth Maine Medical Center. 1994.
https://knowledgeconnection.mainehealth.org/mmc/1994