Abstract

Amani Ghazalah*, Khaoula Lakhdar, Aziz Slaoui1, Soukaina Mouiman, Amina Lakhdar, Aziz Baydada

ABSTRACT

Introduction and importance: Fournier's gangrene is a life-threatening necrotizing fasciitis of the perineum, which is uncommon in females. Bartholin's gland abscess is a rare source of infection leading to this condition. Case presentation: We present a 43-year-old diabetic female admitted for perineal pain and fever, with rapid progression to necrotizing fasciitis. Examination revealed an abscess in the Bartholin's gland area with signs of sepsis. Emergency surgical debridement was performed without preoperative imaging due to the urgency. Clinical discussion: The diagnosis was primarily clinical. The patient underwent urgent debridement and received broad-spectrum antibiotics. A multidisciplinary team, including gynecologists, surgeons, infectious disease specialists, and psychologists, was involved in care. Conclusion of the Abstract: This case underscores the importance of rapid diagnosis and intervention in atypical presentations of Fournier's gangrene. Multidisciplinary management and early surgical treatment are crucial.