PMC6695268_01
(a) Computed tomography showing extensive emphysema around the lower abdominal wall, inguinal area, and scrotum. (b) Intraoperative image of the immediate surgical debridement demonstrating the extensive necrosis of the lower abdominal wall, inguinal area, and scrotum.
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Computed tomography of the lower abdomen and pelvis revealed extensive emphysema around the testicles, perineal subcutaneous tissue, and around the right lower abdomen wall (Fig. 1a). He underwent emergent surgical debridement under general anesthesia and all the necrotic and dead tissue was removed, leaving behind a margin of healthy looking tissue (Fig. 1b).