Morentin Benito, Biritxinaga Begoña, Crespo Lourdes
Section of Pathology, Forensic Pathology Service, Basque Institute of Legal Medicine, Bilbao, Bizkaia, Spain.
Am J Forensic Med Pathol. 2011 Dec;32(4):344-6. doi: 10.1097/PAF.0b013e3181d8e3a5.
Penile strangulation or entrapment is an unusual entity that requires urgent treatment due to its potential complications. Several cases have been reported in the medical literature, some of them describing serious injuries such as necrosis, gangrene, and amputation of the penis. However, as far as we know, no fatal cases have been described before. We present the death of an adult male secondary to the complications due to penile strangulation with a plastic bottle neck. The time of incarceration was unknown, but according to a witness it could be about 10 to 14 days. The findings of autopsy were penile strangulation, necrosis of the penis, acute pyelonephritis, and bronchopneumonia. The subject's refusal to ask for medical help was the cause of this atypical evolution.
阴茎绞窄或卡压是一种不常见的情况，因其可能引发的并发症而需要紧急治疗。医学文献中已报道了数例，其中一些描述了诸如坏死、坏疽和阴茎截肢等严重损伤。然而，据我们所知，此前尚无致命病例的描述。我们报告一例成年男性因塑料瓶颈导致阴茎绞窄并发症而死亡的病例。卡压时间不详，但据一名目击者称可能约为10至14天。尸检结果为阴茎绞窄、阴茎坏死、急性肾盂肾炎和支气管肺炎。该患者拒绝寻求医疗帮助是导致这种非典型病情发展的原因。
