Journal Basic Info

  • Impact Factor: 1.995**
  • H-Index: 8
  • ISSN: 2474-1647
  • DOI: 10.25107/2474-1647
**Impact Factor calculated based on Google Scholar Citations. Please contact us for any more details.

Major Scope

  •  Urology
  •  Thoracic Surgery
  •  Minimally Invasive Surgery
  •  Gynecological Surgery
  •  General Surgery
  •  Cardiovascular Surgery
  •  Neurological Surgery
  •  Plastic Surgery

Abstract

Citation: Clin Surg. 2021;6(1):3364.Research Article | Open Access

Peritoneal Dialysate Leak Mistaken as Fournier's Gangrene

Kareem Rifai1, Ahmad Oussama Rifai2*, Sidra Shakil1, Mohammad Mehio4, Sami M Rifai3 and Sarah Rifai3

1Alabama College of Osteopathic Medicine, USA
2The Virtual Nephrologist Inc, USA
3Hypertension Kidney and Dialysis Specialists, USA
4University of South Florida Internal Medicine Residency Program, USA

*Correspondance to: Ahmad Oussama Rifai 

 PDF  Full Text DOI: 10.25107/2474-1647.3364

Abstract

A 47-year-old man presented with an erythematous, edematous, and tender scrotum occurred after prolonged car driving. The patient had a history of end-stage renal disease and was being treated with Peritoneal Dialysis (PD) for 3 years. After admission with an initial diagnosis of scrotal cellulitis, pelvic non-contrast computed tomography revealed a right-sided hydrocele and a small left-sided inguinal hernia. After he became slightly febrile and the swelling and tenderness spread into the perineum, follow-up computed tomography could not rule out an abscess. Fournier’s gangrene was suspected and surgical debridement was planned. Computed tomography peritoneography with a non-ionic contrast solution in the dialysate confirmed a dialysate leak into the scrotum and perineum. The PD was discontinued, and hemodialysis initiated. All antibiotics were discontinued. The symptoms resolved within 24 h. This unique presentation of minimal scrotal and extensive perineal edema and pain prompted the misdiagnosis of Fournier’s gangrene for its surgical emergency.

Keywords

Cite the article

Rifai K, Rifai AO, Shakil S, Mehio M, Rifai SM, Rifai S. Peritoneal Dialysate Leak Mistaken as Fournier's Gangrene. Clin Surg. 2021; 6: 3364..

Search Our Journal

Journal Indexed In

Articles in PubMed

Automated Sagittal Craniosynostosis Classification from CT Images Using Transfer Learning
 PubMed  PMC  PDF  Full Text
Monitoring an Ongoing Enhanced Recovery after Surgery (ERAS) Program: Adherence Improves Clinical Outcomes in a Comparison of Three Thousand Colorectal Cases
 PubMed  PMC  PDF  Full Text
View More...

Articles with Grants

Curcumin-Induced Adipose-Derived Stem Cell Exosomes Alter Adipogenic Differentiation Capabilities
 Abstract  PDF  Full Text
An Effective Treatment Pathways Study for Type-2 Diabetes
 Abstract  PDF  Full Text
View More...