{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,10,11]],"date-time":"2025-10-11T03:00:12Z","timestamp":1760151612087,"version":"build-2065373602"},"reference-count":7,"publisher":"MDPI AG","issue":"4","license":[{"start":{"date-parts":[[2022,3,31]],"date-time":"2022-03-31T00:00:00Z","timestamp":1648684800000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Diagnostics"],"abstract":"<jats:p>In this article, we present the case of a patient who hid the real reason for which he came to the emergency room. This patient in this case is a 61-year-old man, who presented to the emergency department for symptoms relevant to respiratory disease. However, the initial diagnosis turned out to be only the \u201ctip of the iceberg\u201d in the evolution and treatment of this patient. Fournier gangrene is a fulminant form of infectious necrotizing fasciitis of the perineal, genital, or perianal regions, which frequently affects men, but can also occur in women and children. It is a rare but life-threatening disease. Due to potential complications, it is important to diagnose Fournier gangrene as early as possible. Although antibiotics and aggressive debridement have been widely accepted as standard treatment, the mortality rate remains high. In many cases, the doctor\u2019s mission is much more difficult than it first seems. The challenges to which the doctor is subjected, especially in the emergency room, are immense. In establishing a diagnosis and emergency treatment, all parties involved\u2014medical staff, on the one hand, and patients and relatives, on the other hand\u2014must collaborate so that the outcome is a positive one. The overall conclusion of the medical team was that Fournier gangrene in the patient was the consequence of both the presence of an intrarectal foreign body, as well as excessive alcohol consumption. The case of our patient with Fournier gangrene and an intrarectal foreign body had a positive outcome due to quick, aggressive, and adequate medical and surgical management, as well as the fact that the patient had no other associated pathologies beyond alcohol \u201cpassion.\u201d Our patient\u2019s case is an example of the exceptional situations we sometimes encounter in medical practice.<\/jats:p>","DOI":"10.3390\/diagnostics12040876","type":"journal-article","created":{"date-parts":[[2022,3,31]],"date-time":"2022-03-31T21:33:03Z","timestamp":1648762383000},"page":"876","update-policy":"https:\/\/doi.org\/10.3390\/mdpi_crossmark_policy","source":"Crossref","is-referenced-by-count":12,"title":["The Patient Hides the Truth, but the Computer Tomography Examination Restores It!"],"prefix":"10.3390","volume":"12","author":[{"ORCID":"https:\/\/orcid.org\/0000-0001-5919-3941","authenticated-orcid":false,"given":"Liliana","family":"Dragomir","sequence":"first","affiliation":[{"name":"Clinical-Medical Department, Faculty of Medicine and Pharmacy, Dun\u0103rea de Jos University of Galati, 800201 Galati, Romania"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-0516-734X","authenticated-orcid":false,"given":"Virginia","family":"Marina","sequence":"additional","affiliation":[{"name":"Medical Department of Occupational Health, Faculty of Medicine and Pharmacy, Dun\u0103rea de Jos University of Galati, 35 Str. Al. I. Cuza, 800201 Galati, Romania"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-5837-306X","authenticated-orcid":false,"given":"Cosmina Alina","family":"Moscu","sequence":"additional","affiliation":[{"name":"Emergency Department of Hospital of Galati, 800201 Galati, Romania"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Mihaela","family":"Anghele","sequence":"additional","affiliation":[{"name":"Clinical-Medical Department, Faculty of Medicine and Pharmacy, Dun\u0103rea de Jos University of Galati, 800201 Galati, Romania"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"1968","published-online":{"date-parts":[[2022,3,31]]},"reference":[{"key":"ref_1","doi-asserted-by":"crossref","first-page":"347","DOI":"10.1046\/j.1464-410x.1998.00532.x","article-title":"Fournier\u2019s gangrene","volume":"81","author":"Smith","year":"1998","journal-title":"Br. J. Urol."},{"key":"ref_2","doi-asserted-by":"crossref","first-page":"718","DOI":"10.1046\/j.1365-2168.2000.01497.x","article-title":"Fourniers gangrene: A review of 1726 cases","volume":"87","author":"Eke","year":"2000","journal-title":"Br. J. Surg."},{"key":"ref_3","doi-asserted-by":"crossref","first-page":"1213","DOI":"10.1016\/S0039-6109(02)00058-0","article-title":"Fournier\u2019s gangrene","volume":"82","author":"Morpurgo","year":"2002","journal-title":"Surg. Clin. N. Am."},{"key":"ref_4","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":"ref_5","unstructured":"Walsh, P., Retik, A., Vaughan, D., and Wein, A. (2003). Infections of the urinary tract. Campbell\u2019s Urology, Elsevier Science. [8th ed.]."},{"key":"ref_6","doi-asserted-by":"crossref","first-page":"734","DOI":"10.1016\/S0090-4295(96)80017-3","article-title":"Genital Fournier\u2019s gangrene: Experience with 38 patients","volume":"47","author":"Hejase","year":"1996","journal-title":"Urology"},{"key":"ref_7","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":"Galip","year":"2014","journal-title":"Ulus. Travma Ve Acil Cerrahi Derg."}],"container-title":["Diagnostics"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/www.mdpi.com\/2075-4418\/12\/4\/876\/pdf","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2025,10,10]],"date-time":"2025-10-10T22:47:51Z","timestamp":1760136471000},"score":1,"resource":{"primary":{"URL":"https:\/\/www.mdpi.com\/2075-4418\/12\/4\/876"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2022,3,31]]},"references-count":7,"journal-issue":{"issue":"4","published-online":{"date-parts":[[2022,4]]}},"alternative-id":["diagnostics12040876"],"URL":"https:\/\/doi.org\/10.3390\/diagnostics12040876","relation":{},"ISSN":["2075-4418"],"issn-type":[{"type":"electronic","value":"2075-4418"}],"subject":[],"published":{"date-parts":[[2022,3,31]]}}}