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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BMC
2019-06-01
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Series: | BMC Pediatrics |
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Online Access: | http://link.springer.com/article/10.1186/s12887-019-1554-z |
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author | Jalil Hosseini Saeid Haghdani Nima Narimani |
author_facet | Jalil Hosseini Saeid Haghdani Nima Narimani |
author_sort | Jalil Hosseini |
collection | DOAJ |
description | 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. |
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id | doaj.art-30f4e97e6fc04d4fb0a3143cbb68f20a |
institution | Directory Open Access Journal |
issn | 1471-2431 |
language | English |
last_indexed | 2024-12-11T06:43:18Z |
publishDate | 2019-06-01 |
publisher | BMC |
record_format | Article |
series | BMC Pediatrics |
spelling | doaj.art-30f4e97e6fc04d4fb0a3143cbb68f20a2022-12-22T01:17:10ZengBMCBMC Pediatrics1471-24312019-06-011911310.1186/s12887-019-1554-zGlandular amputation by strangulating tied suture: a case report of late-onset complication in the Plastibell circumcision techniqueJalil Hosseini0Saeid Haghdani1Nima Narimani2Men’s health and reproductive health research center, Shahid Beheshti University of Medical SciencesDepartment of Urology, Hasheminejad Kidney Center (HKC), Iran University of Medical Sciences (IUMS)Department of Urology, Hasheminejad Kidney Center (HKC), Iran University of Medical Sciences (IUMS)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.http://link.springer.com/article/10.1186/s12887-019-1554-zCircumcisionPlastibellComplication |
spellingShingle | Jalil Hosseini Saeid Haghdani Nima Narimani Glandular amputation by strangulating tied suture: a case report of late-onset complication in the Plastibell circumcision technique BMC Pediatrics Circumcision Plastibell Complication |
title | Glandular amputation by strangulating tied suture: a case report of late-onset complication in the Plastibell circumcision technique |
title_full | Glandular amputation by strangulating tied suture: a case report of late-onset complication in the Plastibell circumcision technique |
title_fullStr | Glandular amputation by strangulating tied suture: a case report of late-onset complication in the Plastibell circumcision technique |
title_full_unstemmed | Glandular amputation by strangulating tied suture: a case report of late-onset complication in the Plastibell circumcision technique |
title_short | Glandular amputation by strangulating tied suture: a case report of late-onset complication in the Plastibell circumcision technique |
title_sort | glandular amputation by strangulating tied suture a case report of late onset complication in the plastibell circumcision technique |
topic | Circumcision Plastibell Complication |
url | http://link.springer.com/article/10.1186/s12887-019-1554-z |
work_keys_str_mv | AT jalilhosseini glandularamputationbystrangulatingtiedsutureacasereportoflateonsetcomplicationintheplastibellcircumcisiontechnique AT saeidhaghdani glandularamputationbystrangulatingtiedsutureacasereportoflateonsetcomplicationintheplastibellcircumcisiontechnique AT nimanarimani glandularamputationbystrangulatingtiedsutureacasereportoflateonsetcomplicationintheplastibellcircumcisiontechnique |