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毛发止血带综合征继发近全阴茎离断——一期修复获得满意疗效的病例报告

Near-total penile amputation secondary to hair Torniquet syndrome - Case of a staged repair with a satisfactory outcome.

作者信息

Ali Syed Waqas, Usmani Shajie Ur Rehman, Khan Muhammad Arif Mateen

机构信息

Department of Pediatric Surgery, Dow University of Health Sciences, Baba-e-Urdu Road, Saddar, Karachi, Pakistan.

Department of Internal Medicine, Dow Medical College, Dow University of Health Sciences, Baba-e-Urdu Road, Saddar, Karachi, Pakistan.

出版信息

Urol Case Rep. 2023 Jul 19;50:102509. doi: 10.1016/j.eucr.2023.102509. eCollection 2023 Sep.

Abstract

Penile Hair Tourniquet Syndrome, a subtype of Penile Tourniquet Syndrome, is a rare condition and a pediatric surgical emergency seen in infants whereby a constricting hair coil strangulates the penis most often at the coronal sulcus, leading to edema, ischemia and necrosis, If untreated, it can potentially lead to development of a urethrocutaneous fistula or even urethral transection and penile amputation. Therefore, a well-timed intervention can prevent complications and lifelong unhappiness. Herein, we present a case of an 11-month-old boy who presented with near total amputation of the glans and underwent two-staged repair with a satisfactory outcome.

摘要

阴茎毛发绞窄综合征是阴茎绞窄综合征的一种亚型,是一种罕见的病症,也是婴幼儿期的一种小儿外科急症,表现为收缩的毛发线圈最常于冠状沟处勒紧阴茎,导致水肿、缺血和坏死。若不治疗,可能会发展为尿道皮肤瘘,甚至尿道横断和阴茎截断。因此,及时干预可预防并发症和终生的不幸。在此,我们报告一例11个月大的男童,其龟头几乎完全截断,并接受了两期修复,结果令人满意。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/5a10/10407027/4fbaa714cf08/gr1.jpg

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