A 74-year-old male patient presented to our clinic because of pain and swelling in the right scrotum for 10 days. The scrotum became larger, harder and pus drained out of the scrotum about 3 days before the ultrasound examination.
About 3 months ago, he underwent transurethral resection of the prostate (TURP) and was infected with COVID-19 in the postoperative period. After the COVID isolation, the patient did not show any symptoms of infection.
On ultrasound of the scrotum, we found scrotal edema, thickening, interstitial fluid and gas between the scrotal skin layers. Gas spreads anteriorly to the right pubic tubercle and posteriorly to the base of the penis near the anus.
Gas was not seen in the left scrotum, in the spermatic cord, in the skin of the abdomen and on the buttocks and thighs. No fistula from the rectum was found.
Due to the patient's recent urinary tract surgery, urinary catheterization, history of diabetes, gas and fluid in the right scrotal skin. We therefore assumed diagnosis of Fournier's gangrene.
The paitent was transferred to surgery department after and treated with debridement surgery in combination with antibacterial and detoxification therapy. He improve well till now.
Getting well at hospital discharge.
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