Case Report: Multidisciplinary collaboration for the treatment of severe necrotizing fasciitis in the perineum caused by rectal cancer perforation - Takeaways - 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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  • 1

    Fournier's gangrene is a life-threatening necrotizing fasciitis primarily affecting the perineum and genital regions.

  • 2

    Rectal cancer perforation is a rare cause of Fournier's gangrene, complicating its management due to infection control challenges.

  • 3

    The patient underwent emergency fecal diversion, extensive debridement, and vacuum-assisted closure therapy to manage severe Fournier's gangrene.

  • 4

    Definitive surgical management included laparoscopic abdominoperineal resection and reconstruction using a vascularized gracilis muscle flap.

  • 5

    The case illustrates the importance of a multidisciplinary approach in managing complex cases of Fournier's gangrene associated with rectal cancer.

Original Source(s)

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

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