Tomita M, Uchijima Y, Okada K, Yamaguchi N
Hinyokika Kiyo. 1984 Sep;30(9):1293-6.
A 38-year-old male was admitted to our emergency ward on Oct. 27, 1982, because of severe pain at his penoscrotum. Upon physical finding on admission, his penis was found to have been completely amputated 2 cm distally near the root with a razor by himself to commit suicide a few days before admission. On the affected part were much coagulated blood mass and slough and moreover there were 50 maggots about 5 mm long swarming and wrigling, but no bleeding yet and little sign of inflammation. After exclusion of these maggots and cleaning the slashed surface, cutaneous urethrostomy was performed. Postoperative course was favorable but we could not prevent the patient from leaping to his death 45 days after the operation. Self-amputation of the penis with subsequent complication of myiasis is a very rare condition. Since the report of self-amputation of the penis by Matsushita in 1937, this case is the 16 th in Japan. In most cases the patients had mental disorder. In this case the patient was schizoid. On the other hand, 133 cases of myiasis were reported in Japan from 1903 to 1983. In the present case the species that caused myiasis was Lucilia ampullacea. A very rare case of self-amputation of the penis with subsequent complication of myiasis is documented with a review of the literature on this subject.
一名38岁男性于1982年10月27日因阴茎阴囊剧痛被收治入我院急诊病房。入院体格检查发现，其阴茎在距根部远端2厘米处被其本人用剃须刀完全切断，系入院前几天为自杀所为。患处有大量凝血块和腐肉，此外还有约50条5毫米长的蛆虫在蠕动，但尚无出血且炎症迹象不明显。清除这些蛆虫并清洁切割面后，实施了皮肤尿道造口术。术后病程顺利，但术后45天我们未能阻止患者自杀身亡。阴茎自断后继发蝇蛆病是一种非常罕见的情况。自1937年松下报道阴茎自断病例以来，该病例是日本第16例。大多数病例患者患有精神障碍。本病例患者为精神分裂样人格。另一方面，1903年至1983年日本共报告133例蝇蛆病病例。本文记录了一例非常罕见的阴茎自断后继发蝇蛆病的病例，并对该主题的文献进行了综述。
