Massive necrotizing Fournier's gangrene.

Despite its rarity, Fournier's gangrene remains a potentially deadly disease. Rapid assessment and treatment is absolutely critical for patient survival. We present herein a classic case of Fournier's gangrene in an older male with uncontrolled diabetes mellitus and hypertension, including ultrasonographic and computed tomography imaging. The necrotizing infection involved the patient's entire scrotum and spread to the perineum as well, necessitating scrotectomy, and partial colostomy in addition to extensive debridement and skin grafting.