case_images: PMC8516557_01
case_images: Scrotal wall wound measurement 12 cm (width) x 11 cm (length). Right base of penis wound measuring 3 cm (width) x 4 cm (length) x 3 cm (depth). Intraoperative during debridement.
case_images: CRIU2021-5777235.001.jpg
case_images: PMC8516557_01_CRIU2021-5777235.001.jpg
case_images: fig1
case_images: On hospital day three, he returned to the operative suite for a second exploration of the wounds with washout and further debridement (Figure 1).
case_images: POD 3 after wound vac was removed. Integra graft seen to have taken well.
case_images: CRIU2021-5777235.002.jpg
case_images: PMC8516557_02_CRIU2021-5777235.002.jpg
case_images: fig2
case_images: A 59-year-old male with a past medical history of chronic obstructive pulmonary disease (COPD), hyperlipidemia, diabetes mellitus type 2, and coronary artery disease (CAD) requiring multiple coronary stents and on Plavix presented with a giant condyloma involving his penis and perineum for greater than twelve years (see Figure 2).
case_images: PMC8516557_02
case_images: POD 3 after wound vac was removed. Integra graft seen to have taken well.
case_images: CRIU2021-5777235.002.jpg
case_images: PMC8516557_02_CRIU2021-5777235.002.jpg
case_images: fig2
case_images: A 59-year-old male with a past medical history of chronic obstructive pulmonary disease (COPD), hyperlipidemia, diabetes mellitus type 2, and coronary artery disease (CAD) requiring multiple coronary stents and on Plavix presented with a giant condyloma involving his penis and perineum for greater than twelve years (see Figure 2).
case_images: A patient's presentation with giant GU condyloma and liquefactive necrosis of the scrotum.
case_images: CRIU2021-5777235.003.jpg
case_images: PMC8516557_02_CRIU2021-5777235.003.jpg
case_images: fig3
case_images: Preoperatively, he carried several diagnoses including Fournier's gangrene, sepsis, giant genital condyloma, and left inguinal hernia (Figure 3).
case_images: POD 7 from incision and debridement of the penis and scrotum, scrotectomy, and bilateral orchiectomy. POD 2 from colostomy creation, excision of condyloma, sharp debridement with Integra graft application, and wound vac placement. Photo taken after wound vac was removed.
case_images: CRIU2021-5777235.004.jpg
case_images: PMC8516557_02_CRIU2021-5777235.004.jpg
case_images: fig4
case_images: Simultaneously, plastic surgery performed sharp debridement of the lower abdominal wall and genital area with application of an Integra graft in addition to a traditional wound vacuum device (Figure 4).