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المؤلفZvizdic, Zlatan
المؤلفAnic, Dusko
المؤلفPopovic, Nusret
المؤلفVranic, Semir
تاريخ الإتاحة2020-07-29T22:47:43Z
تاريخ النشر2020-07-17
اسم المنشورMedicine
المعرّفhttp://dx.doi.org/10.1097/MD.0000000000021340
الاقتباسZvizdic Z, Anic D, Popovic N, Vranic S. Acute glans ischemia after circumcision successfully treated with low-molecular-weight heparin and topical dihydrotestosterone: A case report. Medicine 2020;99:29 (e21340).
معرّف المصادر الموحدhttp://hdl.handle.net/10576/15407
الملخصCircumcision like any other surgical procedure is not devoid of complications. Serious complications are rare and include iatrogenic hypospadias, glans ischemia/necrosis, and glans amputation, all of which require an emergent treatment. We report here a case of 6 months-old-boy with a superficial glans ischemia following circumcision. Physical examination revealed a severely cyanotic glans with the moderate edema of the dorsal penile skin. Plasma levels of D-dimer were 8.57 mg/L. Urine passage was unremarkable while color Doppler ultrasonography revealed a normal blood flow. The patient was successfully treated with subcutaneous injection of enoxaparin (low-molecular-weight heparin) and topical 2.5% dihydrotestosterone. The appearance of the glans penis on the 5th day was close to normal while the control levels of D-dimer dropped to the reference range. The patient was discharged from the hospital on the 6th day. At 6-month follow-up, the appearance of the glans penis was normal. Acute glans penis ischemia following circumcision is a rare complication. Its successful treatment with enoxaparin and topical dihydrotestosterone has not been previously reported in the literature.
اللغةen
الناشرWolters Kluwer Health
الموضوعcircumcision
surgery
heparin
العنوانAcute glans ischemia after circumcision successfully treated with low-molecular-weight heparin and topical dihydrotestosterone: A case report
النوعArticle


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