再発直腸癌に対する放射線治療後のFournier壊疽

A CASE OF FOURNIER'S GANGRENE FOLLOWING LOCAL RADIATION FOR THE RECURRENCE OF RECTAL CARCINOMA

　69歳，男性。糖尿病があり，直腸癌の術後局所再発にて放射線照射後。熱発と共に外陰部に発赤・腫脹を生じ，皮膚の潰瘍・壊死へと悪化した。手術的に壊死組織を除去したのち開放創とした。全身状態の管理，抗生物質投与および創洗浄により創は次第に収縮，4か月後に二分陰嚢の形で創閉鎖した。発症から治癒までの全経過の観察と治療を行ったFournier壊疽の症例であった。

A case of Fournier's gangrene in a 69-year-old man was reported. He had diabetes mellitus and had received 30 Gy radiation for local recurrence of rectal carcinoma. Immediately after the irradiation the disease of scrotum began as redness and swelling, and developed ulcer and necrosis. Antibiotics and local drainage were not of benefit, so we performed debridement and obtained good result. We described our experience of the gangrene from the early phase to recovery.