Glandular amputation by strangulating tied suture: a case report of late-onset complication in the Plastibell circumcision technique

Abstract Background Circumcision is considered to be a procedure with minimal morbidity but may be associated with catastrophic complications in inexpert hands. Case presentation We presented a 9-year-old boy with a past medical history of circumcision at the age of one year with Plastibell clamp wh...

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書目詳細資料
Main Authors: Jalil Hosseini, Saeid Haghdani, Nima Narimani
格式: Article
語言:English
出版: BMC 2019-06-01
叢編:BMC Pediatrics
主題:
在線閱讀:http://link.springer.com/article/10.1186/s12887-019-1554-z
實物特徵
總結:Abstract Background Circumcision is considered to be a procedure with minimal morbidity but may be associated with catastrophic complications in inexpert hands. Case presentation We presented a 9-year-old boy with a past medical history of circumcision at the age of one year with Plastibell clamp who was referred with severe chronic penile injury due to neglected plastibell string. After string removal under a loupe magnification (4×), we saw a deep circular injury at distal penile shaft which led to painless glandular autoamputation 45 days later. The patient was managed conservatively with daily urethral self-dilation until future reconstructive surgery. Conclusion This complication emphasized the importance of the follow-up visit by a physician for any probable string remnant.
ISSN:1471-2431