Rawls William F, White Jeffrey T, Mohamed Ahmad, Peppas Dennis, Rosenberg Eran
Department of Urology, University of Louisville, Louisville, KY, United States.
Department of Pediatric Urology, Norton Healthcare, Louisville, KY, United States.
Front Pediatr. 2020 Aug 21;8:477. doi: 10.3389/fped.2020.00477. eCollection 2020.
Penile strangulation is a rare condition in children caused by circumferential constriction of the coronal sulcus by constricting material, commonly thin maternal hair. Vague presenting symptoms often makes diagnosis difficult, but delay in diagnosis can lead to a variety of severe complications including urethral injury and penile necrosis. Providers must have a high index of suspicion and carry out a careful examination to identify maternal hair strands that may bury deep within penile edema. We describe two cases of penile strangulation secondary to maternal hair strands that were successfully treated with thorough examination and division of the constricting hair in the emergency department. In both cases, presentation involved penile swelling and erythema which was noticed by caregivers. Once the diagnosis has been made, urgent treatment using depilatory cream or mechanical removal must occur, with urgent referral to specialists if unable to remove to constricting material. Caregivers must also be counseled on appropriate steps to prevent penile hair tourniquet syndrome. Devastating complications can be avoided by early recognition and proper management of the syndrome, but providers must have knowledge of the condition and a high index of suspicion.
阴茎绞窄是儿童中一种罕见的病症，由狭窄物质（通常是细的母亲头发）对冠状沟进行环形压迫所致。模糊的症状表现常常使诊断困难，但诊断延误可导致包括尿道损伤和阴茎坏死在内的各种严重并发症。医护人员必须保持高度怀疑，并进行仔细检查，以识别可能深埋于阴茎水肿内的母亲头发丝。我们描述了两例继发于母亲头发丝的阴茎绞窄病例，在急诊科通过彻底检查和切断绞窄头发而成功治愈。在这两例病例中，均表现为阴茎肿胀和红斑，由照料者发现。一旦确诊，必须立即使用脱毛膏或进行机械清除进行紧急治疗，如果无法清除绞窄物质，则需紧急转诊给专科医生。还必须向照料者提供适当的预防阴茎毛发止血带综合征的措施建议。通过早期识别和妥善处理该综合征可避免灾难性并发症，但医护人员必须了解该病症并保持高度怀疑。
