Auto-Digestion of Penis after Ring Block with Xylocaine & Adrenaline: A Lethal Iatrogenic Trauma 

Authors

  • Mahakshit Bhat Department of Urology and PSM, S.P. Medical College Bikaner 334003, India
  • Amilal Bhat
  • Ram Kishan Saran
  • Karamveer Sabharwal
  • Manish Singla

DOI:

https://doi.org/10.12970/2310-984X.2013.01.01.3

Keywords:

 Injury, Infection, Diabetes, Penis, Amputation.

Abstract

 A 10 years old insulin dependent diabetic male child presented with gradual blackening of penis and ketoacidosis after incision and drainage of abscess at penile shaft under penile ring block with xylocaine with adrenaline. Patient was managed for diabetes, debridement and SPC was done but process of gangrene continued; finally whole penis slough out. Perineal urethrostomy was done and patient was advised for penile reconstruction later on. 

References


[1] Clinical Practice Guidelines of The Royal Children’s Hospital Melbourne. The Penis & Foreskin Sept 2012.
[2] Nuhu A, Edino S, Agbese G, Kallamu R. Penile gangrene due to strangulation by a metallic nut: a case report and review of the literature. West Afr J Med 2009; 28: 340-2.
[3] Chandra Gupta TS, Rayudu Murthy SV. Donovanosis with auto-amputation of penis in a HIV-2 infected person. Indian J Dermatol Venereol Leprol 2008; 74: 490-2. http://dx.doi.org/10.4103/0378-6323.44308
[4] Fitzcharles-Bowe C, Denkler K, Lalonde D. Finger Injection with High-Dose (1:1,000) Epinephrine: Does it Cause Finger Necrosis and Should it be Treated? Hand 2007; 2: 5-11. http://dx.doi.org/10.1007/s11552-006-9012-4
[5] Järvisalo MJ, Putto-Laurila A, Jartti L, Lehtimäki T, Solakivi T, Rönnemaa T, Raitakari OT. Carotid Artery Intima-Media Thickness in Children With Type 1 Diabetic. Diabetes 2002; 51(2): 493-8. http://dx.doi.org/10.2337/diabetes.51.2.493
[6] Vijayan P. Gangrene of penis in a diabetic male with multiple amputations and follow up: A case report. Indian J Urol 2009; 25: 123-25. http://dx.doi.org/10.4103/0970-1591.45550
[7] Williams NS, Bulstrode CJK, O'Connell PR. Bailey and Love’s short practice of surgery 25th ed, 2008; Chapter 30 (421).
[8] Perovic S. Phalloplasty in Children and Adolescents Using the Extended Pedicle Island Groin Flap. J Urol 1995; 154: 848-53. http://dx.doi.org/10.1016/S0022-5347(01)67183-0

Downloads

Published

2013-02-02

Issue

Section

Articles