Monib Sherif, Amr Bassem
General Surgery Department, West Hertfordshire Hospitals NHS Trust, UK.
Eur J Case Rep Intern Med. 2019 Dec 18;7(1):001292. doi: 10.12890/2019_001292. eCollection 2020.
Penile strangulation is a rare clinical entity which if left untreated can cause serious urogenital problems. We present the case of 45-year-old male patient who presented with penile strangulation after applying a metallic ring. Strangulation of the external male genitalia is a serious problem that requires urgent intervention in order to avoid serious complications. If left untreated, it can result in gangrene and penile amputation. Management of penile strangulation is a real challenge for the treating surgeon and should be treated as an emergency in order to avoid vascular compromise.
Penile strangulation by metallic rings is not routinely encountered in daily emergency practice and can be a challenge for the treating surgeon.Problem awareness is a crucial part of the management of such a rare entity.Every attempt should be made as early as possible to preserve penile arterial supply.
阴茎绞窄是一种罕见的临床情况，若不治疗可导致严重的泌尿生殖系统问题。我们报告一例45岁男性患者，其在套上金属环后出现阴茎绞窄。男性外生殖器绞窄是一个严重问题，需要紧急干预以避免严重并发症。若不治疗，可导致坏疽和阴茎截肢。阴茎绞窄的处理对治疗外科医生来说是一项真正的挑战，应作为紧急情况处理以避免血管受损。
金属环导致的阴茎绞窄在日常急诊实践中并不常见，对治疗外科医生来说可能是一项挑战。对此罕见情况的处理，问题意识是关键部分。应尽早尽一切努力保留阴茎动脉血供。
