Case Report: Multidisciplinary collaboration for the treatment of severe necrotizing fasciitis in the perineum caused by rectal cancer perforation - Summary - MDSpire

Case Report: Multidisciplinary collaboration for the treatment of severe necrotizing fasciitis in the perineum caused by rectal cancer perforation

  • By

  • Hang Hu

  • Wen Zou

  • Xiaoqian Luo

  • Shaojun Yu

  • Jianwei Wang

  • Xinlei Hu

  • Feng Yu

  • Ran Ji

  • May 15, 2026

  • 0 min

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Objective:

To illustrate the management of severe Fournier's gangrene specifically due to rectal cancer perforation through a multidisciplinary approach.

Key Findings:
  • The patient achieved complete wound healing and stable colostomy function at two-month follow-up, with gradual recovery of independent daily activities.
  • Sequential treatment strategies integrating infection control, oncologic resection, and reconstructive surgery were effective in managing the patient's complex condition.
Interpretation:

The case underscores the complexity of managing Fournier's gangrene in the context of rectal cancer, highlighting the need for a coordinated, multidisciplinary approach.

Limitations:
  • The rarity of the condition limits generalizability of findings, making it difficult to establish standard treatment protocols.
  • Only one case is reported, which may not represent broader clinical outcomes, highlighting the need for further studies.
Conclusion:

This case demonstrates the feasibility of a multidisciplinary approach in managing severe Fournier's gangrene associated with rectal cancer perforation, emphasizing the importance of tailored treatment strategies in complex clinical scenarios.

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