Partial penectomy for severe penile ulceration caused by cholesterol crystal embolization
Introduction Cholesterol crystal embolism is a rare microembolic disease caused by cholesterol crystals that can present with various symptoms after vascular surgery, catheterization, or anticoagulation therapy. We report a case of penile ulceration caused by cholesterol crystal embolism. Case prese...
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Format: | Article |
Language: | English |
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Wiley
2023-11-01
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Series: | IJU Case Reports |
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Online Access: | https://doi.org/10.1002/iju5.12631 |
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author | Toshiki Matsushima Kensuke Mitsunari Nobuhide Maekawa Shota Yamada Hidenori Ito Hiroki Kurata Yuichiro Nakamura Tomohiro Matsuo Kojiro Ohba Ryoichi Imamura |
author_facet | Toshiki Matsushima Kensuke Mitsunari Nobuhide Maekawa Shota Yamada Hidenori Ito Hiroki Kurata Yuichiro Nakamura Tomohiro Matsuo Kojiro Ohba Ryoichi Imamura |
author_sort | Toshiki Matsushima |
collection | DOAJ |
description | Introduction Cholesterol crystal embolism is a rare microembolic disease caused by cholesterol crystals that can present with various symptoms after vascular surgery, catheterization, or anticoagulation therapy. We report a case of penile ulceration caused by cholesterol crystal embolism. Case presentation A 72‐year‐old man undergoing maintenance dialysis for end‐stage renal failure presented with penile pain and a black glans ulcer. Despite low‐density lipoprotein apheresis, he was referred to our hospital because of lack of improvement. Based on his medical history and clinical presentation, including artificial vascular replacement and right toe amputation, cholesterol crystal embolism was suspected and partial penectomy was performed, thus confirming the diagnosis. Penile pain resolved after surgery, and he was discharged on Day 10. Unfortunately, he died after small bowel perforation developed 2 months after surgery. Conclusion Penile ulcers caused by cholesterol crystal embolism may indicate the severity and progression of disease and typically require surgical intervention. |
first_indexed | 2024-03-11T10:28:50Z |
format | Article |
id | doaj.art-a5ded9f937f047419480f06b09225a35 |
institution | Directory Open Access Journal |
issn | 2577-171X |
language | English |
last_indexed | 2024-03-11T10:28:50Z |
publishDate | 2023-11-01 |
publisher | Wiley |
record_format | Article |
series | IJU Case Reports |
spelling | doaj.art-a5ded9f937f047419480f06b09225a352023-11-15T06:01:08ZengWileyIJU Case Reports2577-171X2023-11-016639439710.1002/iju5.12631Partial penectomy for severe penile ulceration caused by cholesterol crystal embolizationToshiki Matsushima0Kensuke Mitsunari1Nobuhide Maekawa2Shota Yamada3Hidenori Ito4Hiroki Kurata5Yuichiro Nakamura6Tomohiro Matsuo7Kojiro Ohba8Ryoichi Imamura9Department of Urology Nagasaki University Graduate School of Biomedical Sciences Nagasaki JapanDepartment of Urology Nagasaki University Graduate School of Biomedical Sciences Nagasaki JapanDepartment of Urology Nagasaki University Graduate School of Biomedical Sciences Nagasaki JapanDepartment of Urology Nagasaki University Graduate School of Biomedical Sciences Nagasaki JapanDepartment of Urology Nagasaki University Graduate School of Biomedical Sciences Nagasaki JapanDepartment of Urology Nagasaki University Graduate School of Biomedical Sciences Nagasaki JapanDepartment of Urology Nagasaki University Graduate School of Biomedical Sciences Nagasaki JapanDepartment of Urology Nagasaki University Graduate School of Biomedical Sciences Nagasaki JapanDepartment of Urology Nagasaki University Graduate School of Biomedical Sciences Nagasaki JapanDepartment of Urology Nagasaki University Graduate School of Biomedical Sciences Nagasaki JapanIntroduction Cholesterol crystal embolism is a rare microembolic disease caused by cholesterol crystals that can present with various symptoms after vascular surgery, catheterization, or anticoagulation therapy. We report a case of penile ulceration caused by cholesterol crystal embolism. Case presentation A 72‐year‐old man undergoing maintenance dialysis for end‐stage renal failure presented with penile pain and a black glans ulcer. Despite low‐density lipoprotein apheresis, he was referred to our hospital because of lack of improvement. Based on his medical history and clinical presentation, including artificial vascular replacement and right toe amputation, cholesterol crystal embolism was suspected and partial penectomy was performed, thus confirming the diagnosis. Penile pain resolved after surgery, and he was discharged on Day 10. Unfortunately, he died after small bowel perforation developed 2 months after surgery. Conclusion Penile ulcers caused by cholesterol crystal embolism may indicate the severity and progression of disease and typically require surgical intervention.https://doi.org/10.1002/iju5.12631cholesterol crystal embolismpartial penectomypenile ulceration |
spellingShingle | Toshiki Matsushima Kensuke Mitsunari Nobuhide Maekawa Shota Yamada Hidenori Ito Hiroki Kurata Yuichiro Nakamura Tomohiro Matsuo Kojiro Ohba Ryoichi Imamura Partial penectomy for severe penile ulceration caused by cholesterol crystal embolization IJU Case Reports cholesterol crystal embolism partial penectomy penile ulceration |
title | Partial penectomy for severe penile ulceration caused by cholesterol crystal embolization |
title_full | Partial penectomy for severe penile ulceration caused by cholesterol crystal embolization |
title_fullStr | Partial penectomy for severe penile ulceration caused by cholesterol crystal embolization |
title_full_unstemmed | Partial penectomy for severe penile ulceration caused by cholesterol crystal embolization |
title_short | Partial penectomy for severe penile ulceration caused by cholesterol crystal embolization |
title_sort | partial penectomy for severe penile ulceration caused by cholesterol crystal embolization |
topic | cholesterol crystal embolism partial penectomy penile ulceration |
url | https://doi.org/10.1002/iju5.12631 |
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