Title of article :
Penile Gangrene due to Strangulation by a Metallic Nut: A Case Report
Author/Authors :
Nuhu, A Department of Surgery - University of Maiduguri Teaching Hospital - Maiduguri - Borno State, Nigeria , Edino, ST Department of Surgery - Aminu Kano University Teaching Hospital Kano, Kano State Nigeria , Agbese, GO Department of Surgery - Federal Medical Center Azare - Bauchi State, Nigeria , Kallamuj, M Department of Surgery - Federal Medical Center Azare - Bauchi State, Nigeria
Abstract :
BACKGROUND: Penile entrapment and subsequent
strangulation is a serious injury that requires a prompt
treatment to avoid gangrene.
OBJECTIVE: We report our experience dealing with a case of
penile gangrene following strangulation by a metallic nut in a
middle aged Nigerian.
METHODS: We summarise the case history, physical findings,
investigations and operative treatment of a middle aged man
who slipped a round metallic nut over his penis, entrapping it
for five days causing strangulation and subsequent gangrene.
The literature on penile entrapment, strangulation and
gangrene is also reviewed.
RESULTS: The patient presented with acute urinary retention
and had complete gangrene of the penis. Suprapubic
cystostomy was done and he had total penile amputation and
perineal urethrostomy
CONCLUSION: Entrapment of the penis leading to
strangulation is a rare condition that needs urgent relief,
otherwise penile gangrene sets in, the treatment of which has
very serious consequences
Keywords :
penile amputation , suprapubic cystostomy , metallic nut , Penile gangrene
Journal title :
Astroparticle Physics