Abstract
Received: May 26, 2010 Accepted for publication: June 28, 2010 From the Department of Emergency Medicine, Far Eastern Memorial Hospital Address reprint requests and correspondence: Dr. Min-Po Ho Department of Emergency Medicine, Far Eastern Memorial Hospital 21 Section 2, Nanya South Road, Panchiao 220, Taipei County, Taiwan (R.O.C.) Tel: (02)89667000 ext 4161 E-mail: hominpo@yahoo.com.tw, hoseinsein@gmail.com A 60-year-old man with diabetes mellitus presented to the emergency department with severe scrotal pain for 2 days. Physical examination revealed scrotal redness and swelling. Blood tests showed leukocytosis with a left shift. Pelvic radiograph revealed subcutaneous air over the scrotum and left perineum region (Fig. 1). Under the impression of Fournier’s gangrene, computed tomography (CT) scan of the pelvis was performed. The images revealed subcutaneous air over the scrotum, bilateral perineum and left inguinal r e g i o n ( F i g . 2 A & B ) c o m p a t i b l e w i t h 急重症影像
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