{
  "abstract": "Fournier’s gangrene (FG) is a fulminant necrotising fasciitis of the perineum and genital region. We report a rare case of FG secondary to retroperitoneal perforation of sigmoid diverticulitis in a male patient in his late 60s. The patient presented with septic shock, scrotal necrosis and faecal discharge. Cross-sectional imaging revealed retroperitoneal air and oral contrast tracking from a perforated sigmoid colon into the scrotum. He underwent emergency scrotal debridement followed by sigmoidectomy with end colostomy. Early surgical source control, broad-spectrum antibiotics and vacuum-assisted closure therapy facilitated recovery. This case highlights the importance of considering intra-abdominal pathology in atypical FG presentations and the role of timely imaging and multidisciplinary management.",
  "authors": [
    {
      "affiliations": [
        "Department of Radiodiagnosis, Dr D Y Patil Medical College Hospital and Research Centre, Pune, India",
        "Department of Radiodiagnosis, Fortis Hospital Shalimar Bagh, New Delhi, India"
      ],
      "name": "Sanket Vinubhai Davra"
    },
    {
      "affiliations": [
        "Department of Radiodiagnosis, Dr D Y Patil Medical College Hospital and Research Centre, Pune, India"
      ],
      "name": "Pushkar Kumar"
    },
    {
      "affiliations": [
        "Department of Radiodiagnosis, Fortis Hospital Shalimar Bagh, New Delhi, India"
      ],
      "name": "Anurag Kumar"
    }
  ],
  "title": "Perforated sigmoid diverticulitis presenting as Fournier’s gangrene",
  "uid": "21569a9c-6e57-5eaf-bcb8-112583290c8d"
}