Impact of radiological diagnostics in the survivor of disseminated Fournier gangrene patient with septic pulmonary embolism.

Autor:	Khan A; Radiology and Medical imaging, King Saud University, Riyadh, Riyadh Province, Saudi Arabia khan.adeena@yahoo.com., Sultan M; Internal Medicine, King Saud University, Riyadh, Riyadh Province, Saudi Arabia., Ul Haq U; Orthopaedic Surgery, Jarir Medical Centre, Riyadh, Saudi Arabia., Shahid Habib S; Clinical Physiology, King Saud University, Riyadh, Riyadh Province, Saudi Arabia.
Jazyk:	angličtina
Zdroj:	BMJ case reports [BMJ Case Rep] 2019 Dec 17; Vol. 12 (12). Date of Electronic Publication: 2019 Dec 17.
DOI:	10.1136/bcr-2019-231468
Abstrakt:	A 51-year-old diabetic man diagnosed with prostatic abscess underwent its drainage twice. Following surgery he developed fever and right-sided painless visual loss due to endophthalmitis. To rule out its endogenous source CT scan was done which showed multisystem aetiology and complications. His pelvic CT and CT cystogram revealed postsurgical urethral injury along with urinary extravasation, perineal and pelvic soft tissues air densities with fat stranding ascribed to Fournier gangrene, air in distended urinary bladder due to emphysematous cystitis and right common iliac vein air containing septic thrombus. CT chest spotted bilateral multiple septic pulmonary emboli. These radiological findings were promptly handled by uro-surgical team followed by alliance with other relevant departments. With hasty surgical drainage/debridement, urological restoration of urinary obstruction, aggressive broad spectrum antibiotics, anticoagulation and radiological follow-ups the patient withstood multisystem lethal complications and come up with excellent outcome except evisceration. Competing Interests: Competing interests: None declared. (© BMJ Publishing Group Limited 2019. No commercial re-use. See rights and permissions. Published by BMJ.)
Databáze:	MEDLINE
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