Objectives: Fournier's gangrene is a synergistic infective necrotizing fascitis, which involves perianal, perineal and genital regions, with rapid evolution and severe prognosis. We perform a literature review and report a recent case.

Methods: We report the case of a male patient who presented with scrotal pain and history of excretion of a chicken bone in a bowel movement.

Results: Despite aggressive surgery and wide spectrum antibiotic, the prognosis severe and the mortality is high.

Conclusions: Rapid and accurate diagnosis remains the key to achieving a successful outcome. Early, wide and repeated debridement procedures reduce the mortality.

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