Strangulation of the penis with a metal ring in pediatrics: case report
DOI:
https://doi.org/10.24054/cbs.v3i3.4139Keywords:
Penile trauma, anesthetic block in urology, foreign bodyAbstract
Introduction: The imprisonment of the genital organs by metallic elements is a rare clinical event, which requires finding the best method for metal ablation, allowing rapid decompression of the acute injury and in-depth urological study of the damage caused. Clinical case: An 11-year-old male patient who consulted the emergency department with strangulation of the base of the penis, with a self-inflicted object (steel ring), which generated grade II trauma, with decreased distal perfusion and three hours of evolution. evaluated by Pediatric Surgery-Urology. Results: Prior to regional blockade of the penis, ring cutting techniques were performed with a cold cutter, circular saw clamp and pincer clamp without achieving objective ablation, for which a lymph evacuation procedure was performed with direct pressure, achieving a reduction in distal edema and mobilization of the object, with satisfactory evolution and without urethral injury. Discussion: It is of vital importance for the efficient management of pediatric emergencies to be able to guarantee penile block and edema drainage techniques in a timely manner that reduce the risks of failed cutting procedures.
Downloads
References
Bhat, A. L., Kumar, A., Mathur, S. C., & Gangwal, K. C. (1991). Penile strangulation. British Journal of Urology, 68(6), 618-621.
Chakrabarty, P. B., & Das, B. K. (1976). Strangulation of penis by metal ring. J Indian Med Assoc.
Destinval, C., Billaud, N., Leclerc, E., Castanier, S., Journeau, P., & Lemelle, J. L. (2023). The Gigli saw, a useful tool for cutting a metal ring causing penile strangulation. Journal of pediatric urology, 19(6), 818–819.
Detweiler, M. B. (2001). Penile incarceration with metal objects a review of procedure choice based on penile trauma grade. Scandinavian journal of urology and nephrology, 35(3), 212-217.
González Malagón, Jesús Ezequiel. (2011). Estrangulación de la raíz del pene. Presentación de caso. Revista de Ciencias Médicas de Pinar del Río, 15(1), 198- 205.
Ichaoui, H., Sallami, S., Samet, A., Bokal, Z., & Touinsi, H. (2018). Strangulation of the penis by a metallic ring: prevention is better than cure. Case reports in urology, 2018
Jaimes, J. E. A., Guerra, W. A., Gelves, J. G. S., Merizalde, L. E. R., Chávez, F. G., & Araujo, H. E. (2010). Cuerpo extraño en pene: reporte de un caso. Revista Urología Colombiana, 19(2), 105-109.
Klein, F. A., & Smith, M. V. (1987). Treatment of incarceration of the penis by tempered steel bushings. The Journal of emergency medicine, 5(1), 5-8.
Martín a, Regadera Fj, Martín jl, Rivas M, Sahagun Jl, Martinez fj.: Incarceración de pene por objeto metálico en su base. Arch esp de urol 1994; 47: 730-732.
May M, Gunia S, Helke Ch, Kheyri R, Hoschke B. Penile entrapment in a plastic botle - a case for using an oscillating splint saw. International Urology and Nephrology. 2006 38:93_95.
Mbwambo, O. J., Kiattu, E., Mbwambo, J., Bright, F., Mteta, A. K., & Ngowi, B. N. (2021). Penile strangulation by a metallic nut in an 8-year-old male: A rare case report of urological emergency. International journal of surgery case reports, 89, 106581
Noh, J., Kang, T. W., Heo, T., Kwon, D. D., Park, K., & Ryu, S. B. (2004). Penile strangulation treated with the modified string method. Urology, 64(3), 591.
Romero Pérez, P., Amat Cecilia, M., Merenciano Cortina, F. J., Polo Hernández, R., Baldissera Aradas, J. V., & Ferrero Doria, R. (2022). Estrangulación de pene por anillos. Revisión de la serie española y aportación de 2 casos. Arch. esp. urol. (Ed. impr.), 262-273.
Santucci, R. A., Deng, D., & Carney, J. (2004). Removal of metal penile foreign body with a widely available emergency-medical-services-provided air-driven grinder. Urology, 63(6), 1183–1184. https://doi.org/10.1016/j.urology.2004.01.021
Solís, E. O. P., García, J. F. G., Pedraza, H. L., Colín, J. A. V., Ordaz, O. M., Guadarrama, A. N., & Ramírez, J. G. (2018). Estrangulación de pene por objetos metálicos. Revista Argentina de Urología, 83(3), 118-120.
Snoy, F. J., Wagner, S. A., Woodside, J. R., Orgel, M. G., & Borden, T. A. (1984). Management of penile incarceration. Urology, 24(1), 18-20.
Sinha, B. B. (1988). Penile incarceration by a metallic object. Journal of British Surgery, 75(1), 33-33.
Downloads
Published
How to Cite
Issue
Section
License
Copyright (c) 2025 Basic Health sciencies journal
This work is licensed under a Creative Commons Attribution-NonCommercial 4.0 International License.
