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破坏性多米诺效应:皮下自行植入阴茎异物与阴茎骨折排除相关。

Destructive domino: Subcutaneous self-implanted penile foreign body implicated in rule-out penile fracture.

作者信息

Elyaguov Jason, Matthews Gerald, Phillips John

机构信息

Department of Urology, New York Medical College/Westchester Medical Center, 100 Woods Rd, Valhalla, NY, 10595, USA.

出版信息

Urol Case Rep. 2020 May 20;32:101268. doi: 10.1016/j.eucr.2020.101268. eCollection 2020 Sep.

DOI:10.1016/j.eucr.2020.101268
PMID:32477880
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC7248412/
Abstract

41-year-old male presented with significant penile swelling following sexual intercourse. Two years earlier while incarcerated, the patient self-inserted a 1.5 cm subcutaneous penile foreign body (FB) made from a domino piece. An original concern for penile fracture was successfully ruled out by penile ultrasound, and computed tomography ruled out deep infection. Bloodwork otherwise revealed leukocytosis, and the patient was admitted for intravenous antibiotics and observation. Penile cellulitis and hematoma clinically improved, and the FB did not require removal. At 18 month follow up, the patient maintains normal urological and sexual function.

摘要

一名41岁男性在性交后出现阴茎明显肿胀。两年前,该患者在被监禁期间自行将一块1.5厘米长的多米诺骨牌制成的皮下阴茎异物插入阴茎。阴茎超声检查成功排除了最初对阴茎骨折的担忧,计算机断层扫描排除了深部感染。血液检查显示白细胞增多,患者因静脉注射抗生素和观察而入院。阴茎蜂窝织炎和血肿在临床上有所改善,异物无需取出。在18个月的随访中,患者维持正常的泌尿和性功能。

相似文献

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Urol Case Rep. 2020 May 20;32:101268. doi: 10.1016/j.eucr.2020.101268. eCollection 2020 Sep.
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Subcutaneous penile insertion of domino fragments by incarcerated males in southwest United States prisons: a report of three cases.美国西南部监狱中被监禁男性将多米诺骨牌碎片皮下插入阴茎:三例报告。
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本文引用的文献

1
Complications of subcutaneous penile modifications: a discussion of emergency department presentations and management.阴茎皮下改造的并发症:关于急诊科就诊情况及处理的讨论
Int J Emerg Med. 2019 Aug 27;12(1):22. doi: 10.1186/s12245-019-0241-z.
2
A penal problem: the increasing incidence of implantation of penile foreign bodies.一个刑罚问题:阴茎异物植入发生率不断上升。
Can J Urol. 2014 Dec;21(6):7578-81.
3
Subcutaneous penile insertion of domino fragments by incarcerated males in southwest United States prisons: a report of three cases.
美国西南部监狱中被监禁男性将多米诺骨牌碎片皮下插入阴茎:三例报告。
J Sex Med. 2012 Feb;9(2):632-4. doi: 10.1111/j.1743-6109.2011.02551.x. Epub 2011 Nov 14.
4
False penile fracture: value of different diagnostic approaches and long-term outcome of conservative and surgical management.假性阴茎骨折:不同诊断方法的价值和保守及手术治疗的长期结果。
Urology. 2010 Jun;75(6):1353-6. doi: 10.1016/j.urology.2009.11.086. Epub 2010 Mar 29.
5
Implantation of artificial penile nodules--a review of literature.人工阴茎结节植入术——文献综述。
J Sex Med. 2010 Nov;7(11):3565-71. doi: 10.1111/j.1743-6109.2009.01659.x.