Related Experiment Video
Updated: Jan 11, 2026

Clinical Application of Single-Surgeon, Three-Port, Laparoscopic Resection for Colorectal Cancer with Natural Orifice Specimen Extraction
Published on: March 24, 2023
Fournier's gangrene as initial presentation of rectal cancer
Saúl Sánchez Iglesias1, Cristina de la Cruz Cuadrado1, Julián de Pedro Conal1
1Hospital Universitario de Toledo, Avenida del Rio Guadina, Toledo 45007, Spain.
Abstract:
Fournier's gangrene is a necrotizing fasciitis of the perineum that can occur due to a loss of integrity of the gastrointestinal or urethral mucosa. Its appearance as the debut of a perforated rectal neoplasm is unusual, more uncommon in young patients, leading to an advanced stage of the disease. Therefore, we present the case of a 47-year-old male with Fournier's gangrene as the debut of a rectal cancer that, despite severe presentation, the pathological stage was early (pT2N0), highlighting the importance of considering neoplastic etiology in perineal gangrene and the need for an early multidisciplinary approach.
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