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It shows a predilection for patients with diabetes as well as long term alcohol misuse; however, it can also affect patients with immune compromise. The nidus is usually located in the genitourinary tract, lower gastrointestinal tract, or skin. The development and progression of the gangrene is often fulminating and can rapidly cause multiple organ failure and death in 3% to 10% cases. It commonly affects men, but can also occur in women and children. Plain X ray may show air within the tissues. Ultrasonography is useful to differentiate intrascrotal abnormality. FG needs an aggressive multimodal approach, which includes haemodynamic stabilisation, broad spectrum antibiotics, and early multiple staged surgical debridements. Even though testes are classically spared in the process of FG, orchidectomy, for non‐viable testis, is eventually required in up to 21% patients. Split thickness skin graft is the treatment of choice in treating perineal and scrotal skin defects. 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