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包皮环切术后腺体缺血:一种罕见但危险的并发症。

Glanular Ischemia Following Circumcision: A Rare But Perilous Complication.

作者信息

Tg Subash Kaushik, Aher Nakul, Singh Rubina, Sekar Hariharasudhan, Krishnamoorthy Sriram

机构信息

Urology, Sri Ramachandra Institute of Higher Education and Research, Chennai, IND.

出版信息

Cureus. 2024 Sep 10;16(9):e69100. doi: 10.7759/cureus.69100. eCollection 2024 Sep.

DOI:10.7759/cureus.69100
PMID:39398703
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC11467615/
Abstract

Circumcision is a commonly performed surgical procedure both in childhood and in adults. Acute ischemia of the glans penis after circumcision is a rare but hazardous complication. If left untreated, it can lead to severe consequences such as blackish discolouration due to ischemia, necrosis, or rare organ loss. Herein, we report a case of a 30-year-old male who underwent circumcision for phimosis, following which, he developed ischemia of the glans penis that was managed with timely diagnosis, topical application of warm saline, and oral pentoxifylline. We report the need for a prompt diagnosis and early intervention and also highlight the possibility of dreadful sequelae if left undiagnosed or untreated.

摘要

包皮环切术在儿童和成人中都是一种常见的外科手术。包皮环切术后阴茎头急性缺血是一种罕见但危险的并发症。如果不进行治疗,可能会导致严重后果,如因缺血、坏死导致的发黑变色,甚至罕见的器官丧失。在此,我们报告一例30岁男性因包茎接受包皮环切术,术后发生阴茎头缺血,经及时诊断、局部应用温盐水和口服己酮可可碱治疗。我们报告了及时诊断和早期干预的必要性,并强调了如果未被诊断或未得到治疗可能出现可怕后遗症的可能性。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/b962/11467615/cae25eb674db/cureus-0016-00000069100-i03.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/b962/11467615/35033e99d306/cureus-0016-00000069100-i01.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/b962/11467615/8a79a4cbb3ef/cureus-0016-00000069100-i02.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/b962/11467615/cae25eb674db/cureus-0016-00000069100-i03.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/b962/11467615/35033e99d306/cureus-0016-00000069100-i01.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/b962/11467615/8a79a4cbb3ef/cureus-0016-00000069100-i02.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/b962/11467615/cae25eb674db/cureus-0016-00000069100-i03.jpg

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1
Glanular Ischemia Following Circumcision: A Rare But Perilous Complication.包皮环切术后腺体缺血:一种罕见但危险的并发症。
Cureus. 2024 Sep 10;16(9):e69100. doi: 10.7759/cureus.69100. eCollection 2024 Sep.
2
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3
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本文引用的文献

1
Severe Acute Ischemia of Glans Penis after Achieving Treatment with Only Hyperbaric Oxygen Therapy: A Rare Case Report and Systematic Literature Review.仅采用高压氧治疗后发生的阴茎头严重急性缺血:1例罕见病例报告及系统文献综述
J Pers Med. 2023 Sep 12;13(9):1370. doi: 10.3390/jpm13091370.
2
Acute ischaemia of the glans penis post-circumcision managed with pentoxifylline, topical nitroglycerin and epidural.阴茎龟头环切术后急性缺血的治疗:己酮可可碱、硝酸甘油局部应用和硬膜外。
BMJ Case Rep. 2023 Jan 10;16(1):e249049. doi: 10.1136/bcr-2022-249049.
3
Male Circumcision Complications - A Systematic Review, Meta-Analysis and Meta-Regression.
男性割礼并发症 - 系统评价、荟萃分析和荟萃回归。
Urology. 2021 Jun;152:25-34. doi: 10.1016/j.urology.2021.01.041. Epub 2021 Feb 2.
4
Glans Ischemia after Circumcision in a 16-Year-Old Boy: Full Recovery after Angiography with Local Spasmolysis, Systemic Vasodilatation, and Anticoagulation.一名16岁男孩包皮环切术后龟头缺血:经血管造影、局部痉挛松解、全身血管扩张及抗凝治疗后完全康复
European J Pediatr Surg Rep. 2018 Jan;6(1):e66-e69. doi: 10.1055/s-0038-1667330. Epub 2018 Sep 28.
5
Estimation of country-specific and global prevalence of male circumcision.特定国家和全球男性包皮环切术流行率的估计。
Popul Health Metr. 2016 Mar 1;14:4. doi: 10.1186/s12963-016-0073-5. eCollection 2016.
6
Glans ischemia after circumcision and dorsal penile nerve block: Case report and review of the literature.包皮环切术及阴茎背神经阻滞后龟头缺血:病例报告及文献复习
Urol Ann. 2015 Oct-Dec;7(4):541-3. doi: 10.4103/0974-7796.164862.
7
Postcircumcisional ischemia of the glans penis treated with pentoxifylline.己酮可可碱治疗阴茎头包皮环切术后缺血
Case Rep Urol. 2013;2013:278523. doi: 10.1155/2013/278523. Epub 2013 Feb 4.
8
Successful treatment with enoxaparin of glans ischemia due to local anesthesia after circumcision.成功使用依诺肝素治疗因包皮环切术后局部麻醉引起的龟头缺血。
Pediatrics. 2013 Feb;131(2):e608-11. doi: 10.1542/peds.2012-1400. Epub 2013 Jan 14.
9
Late complications of newborn circumcision: a common and avoidable problem.新生儿包皮环切术的远期并发症:一个常见且可避免的问题。
Pediatr Surg Int. 2010 May;26(5):515-8. doi: 10.1007/s00383-010-2566-9. Epub 2010 Feb 14.
10
Postcircumcision necrosis of the glans penis: gray-scale and color Doppler sonographic findings.阴茎头包皮环切术后坏死:灰阶及彩色多普勒超声表现
J Clin Ultrasound. 2007 Feb;35(2):105-7. doi: 10.1002/jcu.20271.