Yiğiter Murat, Arda Irfan Serdar, Hiçsönmez Akgün
Baskent University Faculty of Medicine, Department of Pediatric Surgery, 06490 Bahçelievler Ankara, Turkey.
J Pediatr Surg. 2008 Feb;43(2):e31-3. doi: 10.1016/j.jpedsurg.2007.10.052.
Paraphimosis is a urologic emergency that occurs in uncircumcised boys. In untreated paraphimosis, increasing edema caused by vascular and lymphatic obstruction results in ominous sequelae such as penile gangrene, which leads to autoamputation in days or weeks. Most cases of paraphimosis are iatrogenic, but that condition has unusual causes as well. We present a very rare case of paraphimosis that occurred in a patient with a hemangioma of the glans penis. We suggest that the swelling of the hemangioma pushed the penile skin backward and caused paraphimosis. To our knowledge, such a presentation has not been previously reported in the English literature.
包皮嵌顿是一种发生于未行包皮环切术男孩的泌尿外科急症。在未经治疗的包皮嵌顿病例中,血管和淋巴阻塞导致的水肿不断加重会引发诸如阴茎坏疽等严重后果,阴茎坏疽会在数天或数周内导致阴茎自截。大多数包皮嵌顿病例是医源性的,但也存在一些特殊病因。我们报告了一例非常罕见的包皮嵌顿病例,该病例发生于一名患有阴茎头血管瘤的患者。我们认为血管瘤的肿胀将阴茎皮肤向后推,从而导致了包皮嵌顿。据我们所知,此前英文文献中尚未报道过此类病例。