{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,5,15]],"date-time":"2026-05-15T15:26:52Z","timestamp":1778858812024,"version":"3.51.4"},"reference-count":12,"publisher":"Ovid Technologies (Wolters Kluwer Health)","issue":"C","license":[{"start":{"date-parts":[[2020,1,1]],"date-time":"2020-01-01T00:00:00Z","timestamp":1577836800000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/www.elsevier.com\/tdm\/userlicense\/1.0\/"},{"start":{"date-parts":[[2020,1,1]],"date-time":"2020-01-01T00:00:00Z","timestamp":1577836800000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/www.elsevier.com\/legal\/tdmrep-license"},{"start":{"date-parts":[[2020,2,3]],"date-time":"2020-02-03T00:00:00Z","timestamp":1580688000000},"content-version":"vor","delay-in-days":33,"URL":"http:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"funder":[{"DOI":"10.13039\/501100002543","name":"Pusan National University","doi-asserted-by":"publisher","id":[{"id":"10.13039\/501100002543","id-type":"DOI","asserted-by":"publisher"}]}],"content-domain":{"domain":["lww.com","ovid.com"],"crossmark-restriction":true},"short-container-title":[],"published-print":{"date-parts":[[2020,1]]},"abstract":"<jats:title>Abstract<\/jats:title>\n                  <jats:sec>\n                    <jats:title>Introduction<\/jats:title>\n                    <jats:p>Fournier\u2019s gangrene (FG) is caused by a variety of causes, but FG led by rectal cancer is rare.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Presentation of case<\/jats:title>\n                    <jats:p>A 62-year-old man presented with perineal pain for several days. Multiple black spots on the scrotum and perineum surrounded by erythema were found on a physical exam. Computed tomography showed diffuse air density with subcutaneous edema in the perineum, scrotum, anus, and left lower abdominal wall and showed 4.1 cm-size mass in anus. He was diagnosed with FG caused by rectal cancer. He underwent extensive debridement of the perineum, scrotum, medial buttocks, and diverting loop colostomy of transverse colon. After repeated debridement of some residual necrotic tissue, abdominal perineal resection was performed after 24 days after initial surgery. The patient received reconstruction surgery of the soft tissue defect and discharged on postoperative day 84. He is being followed up without any recurrence for 10 months.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion<\/jats:title>\n                    <jats:p>Prompt clinical diagnosis and urgent surgical management are crucial for patient\u2019s favorable outcome. The patient in our case study could be recovered by a combined modality therapy we provided.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Highlights<\/jats:title>\n                  <\/jats:sec>","DOI":"10.1016\/j.ijscr.2020.01.040","type":"journal-article","created":{"date-parts":[[2020,2,6]],"date-time":"2020-02-06T11:50:53Z","timestamp":1580989853000},"page":"150-153","update-policy":"https:\/\/doi.org\/10.1097\/lww.0000000000001000","source":"Crossref","is-referenced-by-count":7,"title":["Fournier\u2019s gangrene in a rectal cancer patient"],"prefix":"10.1097","volume":"67","author":[{"given":"Dong woo","family":"Hyun","sequence":"first","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Byoung Chul","family":"Lee","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Jung Bum","family":"Choi","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Young Mok","family":"Park","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Hyuk Jae","family":"Jung","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Hong Jae","family":"Jo","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"276","reference":[{"key":"R1-38-20260114","doi-asserted-by":"crossref","first-page":"9002","DOI":"10.3748\/wjg.v21.i30.9002","article-title":"Rectal cancer and Fournier\u2019s gangrene-current knowledge and therapeutic options","volume":"21","author":"Bruketa","year":"2015","journal-title":"World J. Gastroenterol"},{"key":"R2-38-20260114","doi-asserted-by":"crossref","first-page":"132","DOI":"10.1016\/j.ijsu.2018.10.028","article-title":"The SCARE 2018 statement: updating consensus Surgical CAse REport (SCARE) guidelines","volume":"60","author":"Agha","year":"2018","journal-title":"Int. J. Surg"},{"key":"R4-38-20260114","doi-asserted-by":"crossref","first-page":"265","DOI":"10.5505\/tjtes.2014.67670","article-title":"Experience of 80 cases with Fournier\u2019s gangrene and \u201ctrauma\u201d as a trigger factor in the etiopathogenesis","volume":"20","author":"Eskita\u015fc\u0131o\u011flu","year":"2014","journal-title":"Ulus Travma Acil Cerrahi Derg"},{"key":"R5-38-20260114","doi-asserted-by":"crossref","first-page":"718","DOI":"10.1046\/j.1365-2168.2000.01497.x","article-title":"Fournier\u2019s gangrene: a review of 1726 cases","volume":"87","author":"Eke","year":"2000","journal-title":"Br. J. Surg"},{"key":"R6-38-20260114","first-page":"68","article-title":"Management of Fournier\u2019s gangrene: an eleven year retrospective analysis of early recognition, diagnosis, and treatment","volume":"3","author":"Fournier","year":"2002","journal-title":"Am. Surg"},{"key":"R7-38-20260114","doi-asserted-by":"crossref","first-page":"579","DOI":"10.1007\/BF02554261","article-title":"Early recognition and successful management of pelvic cellulitis following hemorrhoidal banding","volume":"29","author":"Clay","year":"1986","journal-title":"Dis. Colon Rectum"},{"key":"R8-38-20260114","doi-asserted-by":"crossref","first-page":"51","DOI":"10.1007\/BF02586759","article-title":"Fournier\u2019s syndrome following anorectal examination and mucosal biopsy","volume":"22","author":"Cunningham","year":"1979","journal-title":"Dis. Colon Rectum"},{"key":"R9-38-20260114","doi-asserted-by":"crossref","first-page":"711","DOI":"10.1016\/S0022-5347(17)37363-9","article-title":"Carcinoma of the sigmoid colon: an unusual cause of Fournier\u2019s gangrene","volume":"147","author":"Dewire","year":"1992","journal-title":"J. Urol"},{"key":"R10-38-20260114","doi-asserted-by":"crossref","first-page":"234","DOI":"10.1186\/s12957-016-0989-z","article-title":"Severe Fournier\u2019s gangrene in a patient with rectal cancer: case report and literature review","volume":"14","author":"Yoshino","year":"2016","journal-title":"World J. Surg. Oncol"},{"key":"R11-38-20260114","first-page":"389","article-title":"Fournier\u2019s gangrene: ultrasound or computed tomography?","volume":"16","author":"Gupta","year":"2014","journal-title":"Med. Ultrason"},{"key":"R12-38-20260114","doi-asserted-by":"crossref","first-page":"516","DOI":"10.1136\/pgmj.2005.042069","article-title":"Fournier\u2019s gangrene and its emergency management","volume":"82","author":"Thwaini","year":"2006","journal-title":"Postgrad. Med. J"},{"key":"R13-38-20260114","first-page":"e1","article-title":"VAC (Vacuum assisted Closure) treatment in Fournier\u2019s gangrene: personal experience and literature review","volume":"162","author":"Assenza","year":"2011","journal-title":"Clin. 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