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.