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A 59-year-old diabetic, obese, male smoker was on neoadjuvant chemotherapy for stage IV rectal cancer with liver metastasis. He presented with perineal pain and a foul smell. The patient had a 20×10 cm necrotic wound extending from the posterior scrotum to the anal verge that was tender, malodorous and draining dishwater fluid (figure 1). Urgent debridement of his Fournier's gangrene …
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