{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,1,9]],"date-time":"2026-01-09T14:08:19Z","timestamp":1767967699291,"version":"3.49.0"},"reference-count":19,"publisher":"MDPI AG","issue":"10","license":[{"start":{"date-parts":[[2022,9,26]],"date-time":"2022-09-26T00:00:00Z","timestamp":1664150400000},"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>Fournier gangrene represents a urologic emergency. It is a rapidly progressing necrotizing fasciitis that comprises the perineal, perianal, and genital regions and has a high mortality rate. Diagnosis is usually made clinically, but radiological diagnostics, such as ultrasound (US), computed tomography (CT), or magnetic resonance imaging (MRI), can determine the extent of the disease in relation to pelvic structures. Early and accurate diagnosis precipitates the initiation of the effective treatment and, thus, affects the outcome of the therapy. The article reports an illustrative case study of a patient with Fournier gangrene, secondary to a perianal fistula and perianal abscess with a massive accumulation of fluid around the anus and testicles, requiring unilateral orchidectomy. Rapid radiological diagnosis via MRI enabled precise assessment of the degree of the disease, early surgical intervention, and a successful outcome.<\/jats:p>","DOI":"10.3390\/diagnostics12102320","type":"journal-article","created":{"date-parts":[[2022,9,27]],"date-time":"2022-09-27T21:23:27Z","timestamp":1664313807000},"page":"2320","update-policy":"https:\/\/doi.org\/10.3390\/mdpi_crossmark_policy","source":"Crossref","is-referenced-by-count":8,"title":["Utility of Diagnostic Imaging in the Early Detection and Management of the Fournier Gangrene"],"prefix":"10.3390","volume":"12","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-9780-7358","authenticated-orcid":false,"given":"Piotr","family":"Sumis\u0142awski","sequence":"first","affiliation":[{"name":"Department of Neurosurgery, University Hospital Carl Gustav Carus, Technische Universit\u00e4t Dresden, Fetscherstr. 74, 01307 Dresden, Germany"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Janusz","family":"Ko\u0142ecki","sequence":"additional","affiliation":[{"name":"Department of General and Dental Radiology, Pomeranian Medical University, Al. Powsta\u0144c\u00f3w Wielkopolskich 72, 70-111 Szczecin, Poland"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Martyna","family":"Piotrowska","sequence":"additional","affiliation":[{"name":"Department of General Surgery and Transplantation, Pomeranian Medical University, Al. Powsta\u0144c\u00f3w Wielkopolskich 72, 70-111 Szczecin, Poland"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-4870-0156","authenticated-orcid":false,"given":"Maciej","family":"Kotowski","sequence":"additional","affiliation":[{"name":"Department of General Surgery and Transplantation, Pomeranian Medical University, Al. Powsta\u0144c\u00f3w Wielkopolskich 72, 70-111 Szczecin, Poland"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-7271-7495","authenticated-orcid":false,"given":"Marcin","family":"Szemitko","sequence":"additional","affiliation":[{"name":"Department of Interventional Radiology, Pomeranian Medical University, Al. Powsta\u0144c\u00f3w Wielkopolskich 72, 70-111 Szczecin, Poland"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Jerzy","family":"Sie\u0144ko","sequence":"additional","affiliation":[{"name":"Department of General Surgery and Transplantation, Pomeranian Medical University, Al. Powsta\u0144c\u00f3w Wielkopolskich 72, 70-111 Szczecin, Poland"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"1968","published-online":{"date-parts":[[2022,9,26]]},"reference":[{"key":"ref_1","first-page":"46","article-title":"Fournierova gangrena [Fournier\u2019s gangrene]","volume":"102","author":"Masek","year":"2001","journal-title":"Bratisl. Lek Listy"},{"key":"ref_2","doi-asserted-by":"crossref","first-page":"519","DOI":"10.1148\/rg.282075048","article-title":"Fournier gangrene: Role of imaging","volume":"28","author":"Levenson","year":"2008","journal-title":"Radiographics"},{"key":"ref_3","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. 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Surg."}],"container-title":["Diagnostics"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/www.mdpi.com\/2075-4418\/12\/10\/2320\/pdf","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2025,10,11]],"date-time":"2025-10-11T00:39:50Z","timestamp":1760143190000},"score":1,"resource":{"primary":{"URL":"https:\/\/www.mdpi.com\/2075-4418\/12\/10\/2320"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2022,9,26]]},"references-count":19,"journal-issue":{"issue":"10","published-online":{"date-parts":[[2022,10]]}},"alternative-id":["diagnostics12102320"],"URL":"https:\/\/doi.org\/10.3390\/diagnostics12102320","relation":{},"ISSN":["2075-4418"],"issn-type":[{"value":"2075-4418","type":"electronic"}],"subject":[],"published":{"date-parts":[[2022,9,26]]}}}