{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,4,27]],"date-time":"2025-04-27T15:40:03Z","timestamp":1745768403853,"version":"3.40.4"},"reference-count":8,"publisher":"BMJ","content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["BMJ Case Reports"],"abstract":"<jats:p>A 57-year-old morbidly obese (160 kg) man presented with a 12 h history of severe bilateral scrotal pain and swelling. His scrotum was erythematous, with cellulitis advancing superiorly along the anterior abdominal wall. He was in septic shock. Following resuscitation with intravenous fluids, commencement of vasopressor infusion and broad-spectrum antimicrobials, he underwent surgical exploration and debridement. This revealed a devitalised gangrenous scrotum with abscess formation noted in the ischio-rectal spaces. This was debrided posteriorly to the wall of the rectum. The penis was de-gloved. Both testicles were spared. A colostomy was performed on day 3 to maintain a clean environment for healing. Subsequent scrotal reconstruction and grafting was performed with a pedicled gracilis flap and split skin grafting. The colostomy was reversed at 5 months.<\/jats:p>","DOI":"10.1136\/bcr.08.2011.4634","type":"journal-article","created":{"date-parts":[[2011,10,24]],"date-time":"2011-10-24T14:49:40Z","timestamp":1319467780000},"page":"bcr0820114634","source":"Crossref","is-referenced-by-count":0,"title":["Septic shock due to Fournier\u2019s gangrene of the scrotum"],"prefix":"10.1136","volume":"2011","author":[{"given":"Michael Andrew","family":"Callaghan","sequence":"first","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Richard","family":"Baggott","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Frank T","family":"D\u2019Arcy","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"239","published-online":{"date-parts":[[2011,10,24]]},"reference":[{"key":"2025042708121351000_2011.oct20_1.bcr0820114634.1","first-page":"85","article-title":"[Fournier\u00e2\u0080\u0099s gangrene].","volume":"17","author":"Paw\u00c5\u0082owski","year":"2004","journal-title":"Pol Merkur Lekarski"},{"key":"2025042708121351000_2011.oct20_1.bcr0820114634.2","unstructured":"Henry M Thompsen J . Clinical Surgery. First edition. Edinburgh: WB Saunders 2002:113, 126."},{"key":"2025042708121351000_2011.oct20_1.bcr0820114634.3","unstructured":"Cameron JL . Current Surgical Therapy. Eight edition. Philadelphia, PA: Elsevier Mosby 2004:1079\u00e2\u0080\u009385."},{"key":"2025042708121351000_2011.oct20_1.bcr0820114634.4","doi-asserted-by":"crossref","first-page":"347","DOI":"10.1046\/j.1464-410x.1998.00532.x","article-title":"Fournier\u00e2\u0080\u0099s gangrene.","volume":"81","author":"Smith","year":"1998","journal-title":"Br J Urol"},{"key":"2025042708121351000_2011.oct20_1.bcr0820114634.5","first-page":"49","article-title":"Causes, presentation and survival of fifty-seven patients with necrotizing fasciitis of the male genitalia.","volume":"170","author":"Clayton","year":"1990","journal-title":"Surg Gynecol Obstet"},{"key":"2025042708121351000_2011.oct20_1.bcr0820114634.6","doi-asserted-by":"publisher","DOI":"10.1046\/j.1365-2168.2000.01497.x"},{"key":"2025042708121351000_2011.oct20_1.bcr0820114634.7","doi-asserted-by":"publisher","DOI":"10.1016\/j.burns.2004.11.008"},{"key":"2025042708121351000_2011.oct20_1.bcr0820114634.8","doi-asserted-by":"crossref","first-page":"296","DOI":"10.1097\/01.CCM.0000298158.12101.41","article-title":"Surviving sepsis campaign: international guidelines for management of severe sepsis and septic shock","volume":"36","author":"Dellinger","year":"2008","journal-title":"Crit Care Med"}],"container-title":["BMJ Case Reports"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/syndication.highwire.org\/content\/doi\/10.1136\/bcr.08.2011.4634","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2025,4,27]],"date-time":"2025-04-27T15:12:17Z","timestamp":1745766737000},"score":1,"resource":{"primary":{"URL":"https:\/\/casereports.bmj.com\/lookup\/doi\/10.1136\/bcr.08.2011.4634"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2011,10,24]]},"references-count":8,"alternative-id":["10.1136\/bcr.08.2011.4634"],"URL":"https:\/\/doi.org\/10.1136\/bcr.08.2011.4634","relation":{},"ISSN":["1757-790X"],"issn-type":[{"type":"electronic","value":"1757-790X"}],"subject":[],"published":{"date-parts":[[2011,10,24]]}}}