Matsumoto Yoshitaka, Endo Keisuke, Omori Yohei, Komine Manabu, Kikuchi Koji
The Department of Urology, Tsukuba Medical Center Hospital.
Hinyokika Kiyo. 2020 Apr;66(4):131-135. doi: 10.14989/ActaUrolJap_66_4_131.
Case 1 (42-year-old man) : The patient was examined for penoscrotal swelling that had continued for 1 month. An annular erosive skin ulcer was observed at the penoscrotal base, with distal swelling. Asking the patient about the history of his condition was difficult due to a history of mental illness. We suspected his symptoms were due to an embedded foreign object. As computed tomography indicated the presence of a subcutaneous foreign object, surgery was performed to remove it. A rubber band was found wrapped twice around the area. After releasing the strangulation, penoscrotal swelling improved. Case 2 (72-year-old man) : Penoscrotal swelling appeared after having an automobile tow hook attached to the penoscrotal base for 2 weeks. The patient was examined at the emergency room because he could not remove it on his own. A rescue squad was called, and they cut the strangulating object with an electric saw. After releasing the strangulation, penoscrotal swelling improved. Although we experienced 2 cases of penoscrotal strangulation involving strangulating objects with different characteristics, improvement was achieved in both by releasing the strangulation. The cases of penoscrotal strangulation reported in Japan with known strangulation type are reviewed.
病例1（42岁男性）：患者因阴茎阴囊肿胀持续1个月前来就诊。在阴茎阴囊基部观察到环形糜烂性皮肤溃疡，伴有远端肿胀。由于患者有精神病史，询问其病情病史较为困难。我们怀疑其症状是由异物嵌入所致。计算机断层扫描显示皮下有异物，遂进行手术将其取出。发现一条橡皮筋在该部位缠绕了两圈。解除勒绞后，阴茎阴囊肿胀有所改善。病例2（72岁男性）：阴茎阴囊基部被汽车拖钩固定2周后出现阴茎阴囊肿胀。患者因无法自行取下拖钩，在急诊室接受检查。呼叫了救援小组，他们用电锯切断了勒绞物。解除勒绞后，阴茎阴囊肿胀有所改善。尽管我们遇到了2例阴茎阴囊绞窄病例，涉及具有不同特征的绞窄物，但通过解除勒绞，两例均取得了改善。本文回顾了日本报道的已知绞窄类型的阴茎阴囊绞窄病例。
