Spontaneous gas gangrene of the scrotum in patient with severe diabetic ketoacidosis

Abstract

A 52-year-old Chinese man presented with severe diabetic ketoacidosis and markedly inflated scrotum. Computed tomographic scans of the lower pelvis show extensive gas accumulation and inflammatory changes in both sides of the scrotum. Gas gangrene of the scrotum was diagnosed and radical debridement along with other proactive anti-ketoacidosis therapy was performed immediately. Clostridium perfringens was found in cultures of necrotic tissue that verified the diagnosis and the patient was cured through multiple proactive treatments.