Fournier’s gangrene, reported by Fournier in 1883,1,2 is a necrotizing fasciitis occurring and rapidly and progressively expanding in the external genitals and the perineum of subcutaneous tissue.3 Recommended treatment involves single or combined therapy using antimicrobial agents, surgical debridement, and hyperbaric oxygen; however, despite treatment, the disease has a poor outcome with up to 40% mortality rate.4-6 It is critical to intervene with appropriate treatment in the early phase. Regarding comorbidity, 10% to 60% of patients present with diabetes4 and 2% to 4.2% of patients present with rectal cancer.