case_images: PMC3034918_01
case_images: Computed tomography of the pelvis dipecting extensive emphysema around the testicles and perineal subcutaneous tissue.
case_images: CRIM2011-702429.001.jpg
case_images: PMC3034918_01_CRIM2011-702429.001.jpg
case_images: fig1
case_images: C-reactive protein (CRP) was 25 mg/dL, and blood glucose was 300 mg/dL. Computed tomography of the lower abdomen and pelvis revealed extensive emphysema around the testicles, perineal subcutaneous tissue, and around the left internal iliac vessels (Figure 1).
case_images: (a) Preoperative image showing considerable edema and scrotal necrosis. (b) Intraoperative image of the immediate surgical debridement demonstrating the extensive necrosis of the scrotum and perianal region.
case_images: CRIM2011-702429.002.jpg
case_images: PMC3034918_01_CRIM2011-702429.002.jpg
case_images: fig2
case_images: He was treated with immediate extensive surgical debridement under general anesthesia (Figures 2(a) and 2(b)).
case_images: Wide-open drainage of the necrotic skin in the scrotum and perineal area.
case_images: CRIM2011-702429.003.jpg
case_images: PMC3034918_01_CRIM2011-702429.003.jpg
case_images: fig3
case_images: The necrotic skin in the scrotum and the perianal region was evacuated into a wide-open drainage area, without any damage to the testicles spermatic cords, or external sphincter (Figure 3).
case_images: The left testicle is transpositioned into a subcutaneous pocket in the inner side of the left thigh.
case_images: CRIM2011-702429.004.jpg
case_images: PMC3034918_01_CRIM2011-702429.004.jpg
case_images: fig4
case_images: Due to the fact that his left testicle was severely exposed, it was transpositioned into a subcutaneous pocket in the inner side of the left thigh on the 7th postoperative day (Figure 4).
case_images: Image of the surgical wound four weeks after the initial operation showing that the gas gangrene has completely resolved, the wide wound is reduced, and good granulation is present.
case_images: CRIM2011-702429.005.jpg
case_images: PMC3034918_01_CRIM2011-702429.005.jpg
case_images: fig5
case_images: The infection gradually subsided, the gas gangrene resolved completely, and good granulation was present four weeks after surgery (Figure 5).