# A Case of Fournier’s Gangrene in a Patient With Malignant Priapism

## TL;DR

A 77-year-old man with two rare conditions, Fournier’s gangrene and malignant priapism, died after 14 days of hospitalization despite surgical interventions.

## Contribution

This paper reports a rare clinical case combining Fournier’s gangrene and malignant priapism, highlighting the challenges in treatment and outcomes.

## Key findings

- The patient underwent surgical debridement and penectomy but succumbed to severe sepsis.
- The case highlights the complexity and poor prognosis of combined Fournier’s gangrene and malignant priapism.
- Despite aggressive treatment, the patient’s condition deteriorated rapidly.

## Abstract

Fournier’s gangrene is a rare and potentially life-threatening type of necrotizing fasciitis that affects the genital and perineal regions. Malignant priapism is a rare and serious medical condition characterized by persistent and painful erection of the penis that is not associated with sexual arousal or stimulation. We present a case of a 77-year-old man with concurrent Fournier’s gangrene and malignant priapism. He first underwent surgical debridement to remove necrotic tissue and aspiration of blood from the corpora cavernosa. Then a palliative penectomy was performed. The patient succumbed to severe sepsis and died after 14 days of hospitalization.