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[阴茎被钢环嵌顿]

[Penile incarceration by a steel ring].

作者信息

Donate Moreno María José, Giménez Bachs José Miguel, Pastor Guzmán José Mará, Lorenzo Romero Juan Gabriel, Salinas Sánchez Antonio Santiago, Virseda Rodríguez Julio Antonio

机构信息

Servicio de Urologia, Complejo Hospitalario y Universitario de Albacete, Albacete, España.

出版信息

Arch Esp Urol. 2004 Jul-Aug;57(6):655-7.

Abstract

OBJECTIVES

To report a new case of penile incarceration by a metallic object.

METHODS

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.

RESULTS

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.

CONCLUSIONS

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.

摘要

目的

报告一例阴茎被金属物体嵌顿的新病例。

方法

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。

结果

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。

结论

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。

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