Acute glans ischemia after circumcision successfully treated with low-molecular-weight heparin and topical dihydrotestosterone: A case report
المؤلف | Zvizdic, Zlatan |
المؤلف | Anic, Dusko |
المؤلف | Popovic, Nusret |
المؤلف | Vranic, Semir |
تاريخ الإتاحة | 2020-07-29T22:47:43Z |
تاريخ النشر | 2020-07-17 |
اسم المنشور | Medicine |
المعرّف | http://dx.doi.org/10.1097/MD.0000000000021340 |
الاقتباس | Zvizdic 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). |
الملخص | Circumcision 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. |
اللغة | en |
الناشر | Wolters Kluwer Health |
الموضوع | circumcision surgery heparin |
النوع | Article |
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