Fournier gangrene x ray

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Steven C. Campbell, M.D., Ph.D.; Associate Editor(s)-in-Chief: Yamuna Kondapally, M.B.B.S[1]; Jesus Rosario Hernandez, M.D. [2]

Overview

Radiography

• On X-ray, Fournier gangrene is characterized by:

• Subcutaneous gas or soft tissue swelling (specific x-ray finding) seen extending from scrotum and perineum to the inguinal regions, anterior abdominal wall, and thighs
• Increase in the soft tissue thickness and opacity

• Plain x-ray is a poor screening study for Fournier gangrene because:

• Subcutaneous emphysema is an insensitive finding and is present in a minority of patients
• In the early stages the findings are similar to cellulitis