Perineal Gas Gangrene: Two Cases Report and Review of the Literature

A 57 –year-old male presented to the emergency department reporting three days of wor‐ sening perineal and scrotal pain and swelling. He denied diabetes or trauma. His genitouri‐ nary examination revealed a draining lesion in his left inguinal region with surrounding indurations and cellulites extending onto his scrotum. His perineum was edematous and tender with a distinct region of ecchymosis and crepitus. The patient’s blood pressure was 100/56 mmhg; his body temperature rose to 39°C. The laboratory data demonstrated severe infection with white blood cell count of 27000/mm3, a C-reactive protein level of 158mg/dl and a blood sugar level of 14,09mmom/L. Computed tomography showed a perineal collec‐ tion extended to the left ischio rectal region with emphysematous gangrene extended to the