Mbwambo Orgeness Jasper, Kiattu Edward, Mbwambo Jasper, Bright Frank, Mteta Alfred K, Ngowi Bartholomeo Nicholaus
Department of Urology, Faculty of Medicine, Kilimanjaro Christian Medical University College, P.O. Box 2240, Moshi, Tanzania; Department of Urology, Kilimanjaro Christian Medical Centre, P.O. Box 3010, Moshi, United Republic of Tanzania.
Department of Urology, Faculty of Medicine, Kilimanjaro Christian Medical University College, P.O. Box 2240, Moshi, Tanzania.
Int J Surg Case Rep. 2021 Dec;89:106581. doi: 10.1016/j.ijscr.2021.106581. Epub 2021 Nov 10.
Penile strangulation due to metallic objects in pediatric age groups is a rare urological emergency that warrant emergency management. Removal of metallic ring from strangulated penis poses a great challenge to urologist as it may require industrial gadgets. Multidisciplinary management involving psychiatrist is required. To the best of our knowledge, this is the first reported novel case of penile strangulation by a metallic nut in children in Tanzania. Furthermore, this case report shows that Industrial Manual Scissor metal (IMSMC) cutter offers a safe way of removing metallic nut from strangulated penis with few complications.
We report a case report of penile strangulation in an 8 year-old boy by a metallic nut which stayed for 11 h prior to arriving at a tertiary hospital in Northern Tanzania. The reason for insertion of nut by a child was not clear.
On arrival to the hospital the child was clinically stable but in pain. Local examination revealed a metallic nut at proximal penis with grossly edematous penis. A diagnosis of penile strangulation by metallic nut was reached and the child was planned for emergency surgery to remove the metallic nut. The metallic nut was successful removed by IMSMC. This technique has been used in adult with success with few complications and therefore opted in our setting. The child was also diagnosed with oppositional defiant disorder.
Industrial Manual Scissor Metal cutter is a safe way of managing penile strangulation by a metallic nut in children.
小儿因金属物品导致阴茎绞窄是一种罕见的泌尿外科急症，需要紧急处理。从绞窄的阴茎上移除金属环对泌尿外科医生来说是一项巨大挑战，因为这可能需要工业工具。需要多学科管理，包括精神科医生参与。据我们所知，这是坦桑尼亚首例报道的儿童因金属螺母导致阴茎绞窄的新病例。此外，本病例报告表明，工业手动金属剪刀式切割器为从绞窄的阴茎上移除金属螺母提供了一种安全的方法，且并发症较少。
我们报告一例8岁男孩因金属螺母导致阴茎绞窄的病例，该男孩在抵达坦桑尼亚北部一家三级医院之前，金属螺母已卡在阴茎上11小时。孩子插入螺母的原因不明。
患儿入院时临床情况稳定，但疼痛。局部检查发现阴茎近端有一个金属螺母，阴茎明显水肿。诊断为金属螺母导致的阴茎绞窄，计划对患儿进行紧急手术以移除金属螺母。使用工业手动金属剪刀式切割器成功移除了金属螺母。该技术在成人中应用成功且并发症较少，因此我们选择在本病例中使用。该患儿还被诊断为对立违抗障碍。
工业手动金属剪刀式切割器是处理儿童因金属螺母导致阴茎绞窄的一种安全方法。
