Donate Moreno María José, Giménez Bachs José Miguel, Pastor Guzmán José Mará, Lorenzo Romero Juan Gabriel, Salinas Sánchez Antonio Santiago, Virseda Rodríguez Julio Antonio
Servicio de Urologia, Complejo Hospitalario y Universitario de Albacete, Albacete, España.
Arch Esp Urol. 2004 Jul-Aug;57(6):655-7.
To report a new case of penile incarceration by a metallic object.
28-year-old male presenting to the emergency room with a ring at the medial part of the penis that he was unable to remove. The ring was placed 16 hours before. Such incarcerating object was causing important oedema, a small plate of necrosis, and hypoesthesia of the glans penis.
After many unsuccessful attempts the penis was finally released using a strong cutting tool. The wound was cleaned with removal of devitalized tissue and sutured. Twenty-four hours later the penis looked almost normal, although patient complained of slight hypoesthesia at the glans penis.
Incarceration of the penis by a metallic object is an unusual clinical situation causing a vascular emergency and an incredible therapeutic challenge to remove the constructive object.
报告一例阴茎被金属物体嵌顿的新病例。
一名28岁男性因阴茎中部有一个无法取下的戒指而到急诊室就诊。该戒指是16小时前戴上的。这种嵌顿物体导致了严重水肿、一小片坏死以及阴茎头感觉减退。
经过多次尝试均未成功后,最终使用强力切割工具解除了阴茎嵌顿。清理伤口,清除失活组织并进行缝合。24小时后,阴茎外观几乎恢复正常,尽管患者抱怨阴茎头仍有轻微感觉减退。
阴茎被金属物体嵌顿是一种不常见的临床情况,会引发血管急症,且移除嵌顿物体是一项极具挑战性的治疗难题。