Genitourinary CT Appearances

Fournier Gangrene CT Findings

• Soft tissue thickening
• Inflammation
• Fascial air
• Muscle or fascial edema
• Advanced cases have subcutaneous emphysema along the fascial planes

Other Information About Fournier Gangrene

Etiology:

• Caused by bacteria
• Chronic alcohol use
• Tobacco use
• Associated with diabetes and HIV

Epidemiology:

• Rare
• 10x more common in males
• Typically presents after age 50

Presentation:

• Genital pain
• Discoloration
• Tenderness
• Swelling
• Crepitus

Prognosis:

• The mortality rate can be as high as 20-40% but is typically dependent on comorbidities or complications