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KEY FACTS
Terminology
Imaging
Top Differential Diagnoses
Clinical Issues
TERMINOLOGY
Abbreviations
Fournier gangrene (FG)
Necrotizing soft tissue infection (NSTI)
Synonyms
NSTI of perineum
Definitions
Rapidly progressing, life-threatening, fulminant, necrotizing polymicrobial fasciitis of perineal, genital, and perianal regions
IMAGING
General Features
Radiographic Findings
CT Findings
MR Findings
Ultrasonographic Findings
Imaging Recommendations
DIFFERENTIAL DIAGNOSIS
PATHOLOGY
General Features
Staging, Grading, & Classification
Microscopic Features
CLINICAL ISSUES
Presentation
Demographics
Natural History & Prognosis
Treatment
DIAGNOSTIC CHECKLIST
Consider
Image Interpretation Pearls
Selected References
Montrief T et al: Fournier gangrene: a review for emergency clinicians. J Emerg Med. ePub, 2019
Ballard DH et al: Preoperative CT findings and interobserver reliability of Fournier gangrene. AJR Am J Roentgenol. 211(5):1051-7, 2018
Erichsen Andersson A et al: Signs, symptoms and diagnosis of necrotizing fasciitis experienced by survivors and family: a qualitative Nordic multi-center study. BMC Infect Dis. 18(1):429, 2018
Bechar J et al: Laboratory risk indicator for necrotising fasciitis (LRINEC) score for the assessment of early necrotising fasciitis: a systematic review of the literature. Ann R Coll Surg Engl. 99(5):341-6, 2017
Hagedorn JC et al: A contemporary update on Fournier's gangrene. Nat Rev Urol. 14(4):205-14, 2017
Misiakos EP et al: Early diagnosis and surgical treatment for necrotizing fasciitis: a multicenter study. Front Surg. 4:5, 2017
Weatherspoon K et al: Ultrasound Emergencies of the Male Pelvis. Semin Ultrasound CT MR. 38(4):327-344, 2017
Yu M et al: Complicated Genitourinary Tract Infections and Mimics. Curr Probl Diagn Radiol. ePub, 2016
Di Serafino M et al: A clinical case of Fournier's gangrene: imaging ultrasound. J Ultrasound. 17(4):303-6, 2014
Mishra SP et al: Necrotizing Soft Tissue Infections: Surgeon's Prospective. Int J Inflam. 2013:609628, 2013
Shyam DC et al: Fournier's gangrene. Surgeon. 11(4):222-32, 2013
Sroczyński M et al: A complex approach to the treatment of Fournier's gangrene. Adv Clin Exp Med. 22(1):131-5, 2013
Yoneda A et al: MRI can determine the adequate area for debridement in the case of Fournier's gangrene. Int Surg. 95(1):76-9, 2010
Levenson RB et al: Fournier gangrene: role of imaging. Radiographics. 28(2):519-28, 2008
Basoglu M et al: Management of Fournier's gangrene: review of 45 cases. Surg Today. 37(7):558-63, 2007
Piedra T et al: Fournier's gangrene: a radiologic emergency. Abdom Imaging. 31(4):500-2, 2006
Related Anatomy
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Related Differential Diagnoses
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References
Tables
Tables
KEY FACTS
Terminology
Imaging
Top Differential Diagnoses
Clinical Issues
TERMINOLOGY
Abbreviations
Fournier gangrene (FG)
Necrotizing soft tissue infection (NSTI)
Synonyms
NSTI of perineum
Definitions
Rapidly progressing, life-threatening, fulminant, necrotizing polymicrobial fasciitis of perineal, genital, and perianal regions
IMAGING
General Features
Radiographic Findings
CT Findings
MR Findings
Ultrasonographic Findings
Imaging Recommendations
DIFFERENTIAL DIAGNOSIS
PATHOLOGY
General Features
Staging, Grading, & Classification
Microscopic Features
CLINICAL ISSUES
Presentation
Demographics
Natural History & Prognosis
Treatment
DIAGNOSTIC CHECKLIST
Consider
Image Interpretation Pearls
Selected References
Montrief T et al: Fournier gangrene: a review for emergency clinicians. J Emerg Med. ePub, 2019
Ballard DH et al: Preoperative CT findings and interobserver reliability of Fournier gangrene. AJR Am J Roentgenol. 211(5):1051-7, 2018
Erichsen Andersson A et al: Signs, symptoms and diagnosis of necrotizing fasciitis experienced by survivors and family: a qualitative Nordic multi-center study. BMC Infect Dis. 18(1):429, 2018
Bechar J et al: Laboratory risk indicator for necrotising fasciitis (LRINEC) score for the assessment of early necrotising fasciitis: a systematic review of the literature. Ann R Coll Surg Engl. 99(5):341-6, 2017
Hagedorn JC et al: A contemporary update on Fournier's gangrene. Nat Rev Urol. 14(4):205-14, 2017
Misiakos EP et al: Early diagnosis and surgical treatment for necrotizing fasciitis: a multicenter study. Front Surg. 4:5, 2017
Weatherspoon K et al: Ultrasound Emergencies of the Male Pelvis. Semin Ultrasound CT MR. 38(4):327-344, 2017
Yu M et al: Complicated Genitourinary Tract Infections and Mimics. Curr Probl Diagn Radiol. ePub, 2016
Di Serafino M et al: A clinical case of Fournier's gangrene: imaging ultrasound. J Ultrasound. 17(4):303-6, 2014
Mishra SP et al: Necrotizing Soft Tissue Infections: Surgeon's Prospective. Int J Inflam. 2013:609628, 2013
Shyam DC et al: Fournier's gangrene. Surgeon. 11(4):222-32, 2013
Sroczyński M et al: A complex approach to the treatment of Fournier's gangrene. Adv Clin Exp Med. 22(1):131-5, 2013
Yoneda A et al: MRI can determine the adequate area for debridement in the case of Fournier's gangrene. Int Surg. 95(1):76-9, 2010
Levenson RB et al: Fournier gangrene: role of imaging. Radiographics. 28(2):519-28, 2008
Basoglu M et al: Management of Fournier's gangrene: review of 45 cases. Surg Today. 37(7):558-63, 2007
Piedra T et al: Fournier's gangrene: a radiologic emergency. Abdom Imaging. 31(4):500-2, 2006
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