Dunev V R, Kolev N H, Genov P P
Medical University Pleven, "Georgi Kochev" 8A str., 5800, Bulgaria.
Dept. of Urology, UMHAT, "Kanev", "Nezavisimost" 2 str., Ruse, 7000, Bulgaria.
Urol Case Rep. 2019 Jan 31;23:108-109. doi: 10.1016/j.eucr.2019.01.019. eCollection 2019 Mar.
We report here a case of penile gangrene due to penile calciphylaxis in a patient with diabetes mellitus and chronic renal failure. Initially the patient demonstrated dry gangrene of the glans penis, which turned to wet after partial amputation. The main cause of the gangrene was considered to be circulatory insufficiency induced by severe arteriosclerosis. Despite high mortality rate associated with ischaemic penile gangrene aggressive management is recommended for those who are not terminal.
我们在此报告一例糖尿病和慢性肾衰竭患者因阴茎钙化防御导致阴茎坏疽的病例。最初,患者表现为阴茎头干性坏疽,部分截肢后转为湿性坏疽。坏疽的主要原因被认为是严重动脉硬化引起的循环功能不全。尽管缺血性阴茎坏疽的死亡率很高,但对于非终末期患者,建议积极治疗。