{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,1,23]],"date-time":"2026-01-23T04:32:13Z","timestamp":1769142733336,"version":"3.49.0"},"reference-count":8,"publisher":"BMJ","issue":"1","content-domain":{"domain":["bmj.com"],"crossmark-restriction":true},"short-container-title":["BMJ Case Rep"],"accepted":{"date-parts":[[2026,1,7]]},"published-print":{"date-parts":[[2026,1]]},"abstract":"<jats:p>Fournier\u2019s gangrene (FG) is a fulminant necrotising fasciitis of the perineum and genital region. We report a rare case of FG secondary to retroperitoneal perforation of sigmoid diverticulitis in a male patient in his late 60s. The patient presented with septic shock, scrotal necrosis and faecal discharge. Cross-sectional imaging revealed retroperitoneal air and oral contrast tracking from a perforated sigmoid colon into the scrotum. He underwent emergency scrotal debridement followed by sigmoidectomy with end colostomy. Early surgical source control, broad-spectrum antibiotics and vacuum-assisted closure therapy facilitated recovery. This case highlights the importance of considering intra-abdominal pathology in atypical FG presentations and the role of timely imaging and multidisciplinary management.<\/jats:p>","DOI":"10.1136\/bcr-2025-268768","type":"journal-article","created":{"date-parts":[[2026,1,22]],"date-time":"2026-01-22T14:05:21Z","timestamp":1769090721000},"page":"e268768","update-policy":"https:\/\/doi.org\/10.1136\/crossmarkpolicy","source":"Crossref","is-referenced-by-count":0,"title":["Perforated sigmoid diverticulitis presenting as Fournier\u2019s gangrene"],"prefix":"10.1136","volume":"19","author":[{"ORCID":"https:\/\/orcid.org\/0009-0007-5802-5453","authenticated-orcid":false,"given":"Sanket Vinubhai","family":"Davra","sequence":"first","affiliation":[{"name":"Department of Radiodiagnosis, Dr D Y Patil Medical College Hospital and Research Centre, Pune, India"},{"name":"Department of Radiodiagnosis, Fortis Hospital Shalimar Bagh, New Delhi, India"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Pushkar","family":"Kumar","sequence":"additional","affiliation":[{"name":"Department of Radiodiagnosis, Dr D Y Patil Medical College Hospital and Research Centre, Pune, India"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Anurag","family":"Kumar","sequence":"additional","affiliation":[{"name":"Department of Radiodiagnosis, Fortis Hospital Shalimar Bagh, New Delhi, India"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"239","published-online":{"date-parts":[[2026,1,22]]},"reference":[{"key":"2026012206051201000_19.1.e268768.1","doi-asserted-by":"crossref","first-page":"1352","DOI":"10.1111\/iwj.12812","article-title":"Prognostic factors and treatment outcomes for patients with Fournier\u2019s gangrene: a retrospective study","volume":"14","author":"Hong","year":"2017","journal-title":"Int Wound J"},{"key":"2026012206051201000_19.1.e268768.2","doi-asserted-by":"crossref","first-page":"1884","DOI":"10.18203\/2349-2902.isj20222948","article-title":"Perforated diverticulitis leading to Fournier\u2019s gangrene","volume":"9","author":"Watter","year":"2022","journal-title":"Int Surg J"},{"key":"2026012206051201000_19.1.e268768.3","doi-asserted-by":"crossref","first-page":"149","DOI":"10.1186\/s12301-021-00251-w","article-title":"Intraperitoneal abscess from perforated diverticulitis with fistualization to extraperitoneal abscess into the scrotum: a case report","volume":"27","author":"Scali","year":"2021","journal-title":"Afr J Urol"},{"key":"2026012206051201000_19.1.e268768.4","doi-asserted-by":"publisher","DOI":"10.1097\/DCR.0000000000000075"},{"key":"2026012206051201000_19.1.e268768.5","doi-asserted-by":"crossref","first-page":"641","DOI":"10.1007\/s11255-020-02705-6","article-title":"Vacuum-assisted closure device in the postoperative wound care for Fournier\u2019s gangrene: a systematic review","volume":"53","author":"Franco-Buenaventura","year":"2021","journal-title":"Int Urol Nephrol"},{"key":"2026012206051201000_19.1.e268768.6","doi-asserted-by":"publisher","DOI":"10.1046\/j.1365-2168.2000.01497.x"},{"key":"2026012206051201000_19.1.e268768.7","doi-asserted-by":"publisher","DOI":"10.1016\/S0022-5347(01)67236-7"},{"key":"2026012206051201000_19.1.e268768.8","doi-asserted-by":"publisher","DOI":"10.1007\/s10151-010-0592-1"}],"container-title":["BMJ Case Reports"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/syndication.highwire.org\/content\/doi\/10.1136\/bcr-2025-268768","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,1,22]],"date-time":"2026-01-22T14:05:21Z","timestamp":1769090721000},"score":1,"resource":{"primary":{"URL":"https:\/\/casereports.bmj.com\/lookup\/doi\/10.1136\/bcr-2025-268768"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2026,1]]},"references-count":8,"journal-issue":{"issue":"1","published-online":{"date-parts":[[2026,1,22]]},"published-print":{"date-parts":[[2026,1]]}},"alternative-id":["10.1136\/bcr-2025-268768"],"URL":"https:\/\/doi.org\/10.1136\/bcr-2025-268768","relation":{},"ISSN":["1757-790X"],"issn-type":[{"value":"1757-790X","type":"electronic"}],"subject":[],"published":{"date-parts":[[2026,1]]}}}