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Peer-reviewedCC BYJournal of surgical case reports

Spermatic cord tunnel Penrose drainage for cephalad-tracking Fournier's gangrene: a case report.

  • Sepideh Garrosi1,2
  • Necial Marcelin3
  • Ingrid Paredes4
  • Marlon Pastrana3
4 affiliations
  1. 1Florida International University, Herbert Wertheim College of Medicine, 11200 SW 8th Street, Miami, FL 33199, United States.
  2. 2American University of Antigua, College of Medicine, University Park, Jabberwock Beach Road, PO Box W1451, Coolidge, Antigua and Barbuda.
  3. 3Department of General Surgery, Larkin Community Hospital, 7031 SW 62nd Avenue, South Miami, FL 33143, United States.
  4. 4Baptist Health Homestead Hospital, 975 Baptist Way, Homestead, FL 33033, United States.
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Abstract

Fournier's gangrene tracking cephalad along spermatic cords complicates source control and soft tissue reconstruction. We describe a 61-year-old male with poorly controlled diabetes who presented with extensive scrotal necrotizing fasciitis tracking superiorly to the suprapubic region. Following wide excisional debridement, bilateral Penrose drains were passed through the spermatic cord tunnels and brought out through dependent perineal counter incisions. This technique provided effective through-and-through drainage of the cephalad tracts while limiting abdominal tissue loss. Deep wound cultures uniquely grew methicillin-resistant Staphylococcus aureus as a monomicrobial organism. Following serial debridements, a dermal regeneration template was applied to the scrotal and perineal defect, followed by staged split-thickness skin grafting. Complete coverage and structural preservation were achieved without the need for urinary or fecal diversion.

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Cite

BibTeXRIS
BibTeX
@article{garrosi2026spermatic,
  title = {{Spermatic cord tunnel Penrose drainage for cephalad-tracking Fournier's gangrene: a case report.}},
  author = {Sepideh Garrosi and Necial Marcelin and Ingrid Paredes and Marlon Pastrana},
  journal = {Journal of surgical case reports},
  year = {2026},
  month = oct,
  doi = {10.1093/jscr/rjag934},
  url = {https://europepmc.org/article/MED/42899260},
  note = {CC BY},
}
RIS
TY  - JOUR
TI  - Spermatic cord tunnel Penrose drainage for cephalad-tracking Fournier's gangrene: a case report.
AU  - Sepideh Garrosi
AU  - Necial Marcelin
AU  - Ingrid Paredes
AU  - Marlon Pastrana
PY  - 2026
DA  - 2026/10/19
JO  - Journal of surgical case reports
DO  - 10.1093/jscr/rjag934
UR  - https://europepmc.org/article/MED/42899260
AB  - Fournier's gangrene tracking cephalad along spermatic cords complicates source control and soft tissue reconstruction. We describe a 61-year-old male with poorly controlled diabetes who presented with extensive scrotal necrotizing fasciitis tracking superiorly to the suprapubic region. Following wide excisional debridement, bilateral Penrose drains were passed through the spermatic cord tunnels and brought out through dependent perineal counter incisions. This technique provided effective through-and-through drainage of the cephalad tracts while limiting abdominal tissue loss. Deep wound cultures uniquely grew methicillin-resistant Staphylococcus aureus as a monomicrobial organism. Following serial debridements, a dermal regeneration template was applied to the scrotal and perineal defect, followed by staged split-thickness skin grafting. Complete coverage and structural preservation were achieved without the need for urinary or fecal diversion.
SN  - 2042-8812
ER  -