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阴茎伴阴茎阴囊坏死的钙化防御:一例病例报告并文献复习

Penile calciphylaxis with penoscrotal necrosis: A case report with literature review.

作者信息

Hussein Zhino Noori, Bapir Rawa, Fakhralddin Saman Salih, Abdullah Ari M, Salih Karzan M, Kakamad Fahmi H

机构信息

Department of Urology, Sulaimaniyah Surgical Teaching Hospital, Kirdistan Region, Iraq.

Smart Health Tower, Madam Mitterrand Street, Sulaimani, Kurdistan, Iraq.

出版信息

Urol Case Rep. 2023 Jun 7;50:102462. doi: 10.1016/j.eucr.2023.102462. eCollection 2023 Sep.

DOI:10.1016/j.eucr.2023.102462
PMID:37416754
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC10320403/
Abstract

Penile calciphylaxis, also known as calcific uremic arteriolopathy is an uncommon condition of the penile vessels due to its extensive vascular network. The aim of this report is to report a very rare case of penile calciphylaxis with penoscrotal necrosis. A 54-year-old male patient presented with progressive penoscrotal necrosis within a duration of one month. He had a history of diabetes mellitus and stage 5 chronic kidney disease. Under spinal anesthesia, partial penectomy and excision of the necrotic scrotum were performed. Histopathological examination was consistent with calciphylaxis. Despite it is a rare occurrence, penile calciphylaxis should be included in the different diagnosis of any diabetic and end stage kidney disease patients who presented with penile pain.

摘要

阴茎钙化防御,也称为钙化性尿毒症性小动脉病,由于阴茎血管网络广泛,是一种阴茎血管的罕见病症。本报告的目的是报告一例极为罕见的伴有阴茎阴囊坏死的阴茎钙化防御病例。一名54岁男性患者在一个月内出现进行性阴茎阴囊坏死。他有糖尿病病史和5期慢性肾病。在脊髓麻醉下,进行了部分阴茎切除术和坏死阴囊切除术。组织病理学检查与钙化防御一致。尽管这种情况罕见,但对于任何出现阴茎疼痛的糖尿病和终末期肾病患者,阴茎钙化防御都应纳入鉴别诊断。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/dcc4/10320403/b037d472805b/gr3.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/dcc4/10320403/96c14a81a1e3/gr1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/dcc4/10320403/c180b412dc63/gr2.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/dcc4/10320403/b037d472805b/gr3.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/dcc4/10320403/96c14a81a1e3/gr1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/dcc4/10320403/c180b412dc63/gr2.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/dcc4/10320403/b037d472805b/gr3.jpg

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本文引用的文献

1
Penile calciphylaxis: a life-threatening condition successfully treated with sodium thiosulfate.阴茎钙化防御:一种危及生命的疾病,成功用硫代硫酸钠治疗。
Am J Ther. 2012 Jan;19(1):e66-8. doi: 10.1097/MJT.0b013e3181e3b0f2.
2
Calciphylaxis: natural history, risk factor analysis, and outcome.钙过敏症:自然病史、危险因素分析及预后
J Am Acad Dermatol. 2007 Apr;56(4):569-79. doi: 10.1016/j.jaad.2006.08.065. Epub 2006 Dec 1.