Neglected urethral stone causing Fournier’s gangrene: A case report

Fournier’s gangrene is a serious, progressive necrotizing infection of the skin, subcutaneous fat, and superficial fascia of the external genitalia and/or perineum. This case report will discuss a very rare cause of Fournier's gangrene, which is a neglected urethral stone in a 63 year old patient presented to the emergency department with a large painful bursa with anuria that had been progressing for a week. An abdomino-pelvic CT scan showing a stone in the anterior urethra close to the urethral meatus, 1.5 cm in size, responsible for dilatation of the entire urinary tract which is associated with a bilateral scrotal abscess extending to the dorsal surface of the penis. The bases of treatment are:  extraction of the calculi ether mini invasively or by urethrotomy, urinary diversion ether by urethral or supra pubic catheter, and debridement necrotomy to control the infection.