Academic Journal
Acute glans ischemia after circumcision successfully treated with low-molecular-weight heparin and topical dihydrotestosterone ; A case report
| العنوان: | Acute glans ischemia after circumcision successfully treated with low-molecular-weight heparin and topical dihydrotestosterone ; A case report |
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| المؤلفون: | Zvizdic, Zlatan, Anic, Dusko, Popovic, Nusret, Vranic, Semir |
| المصدر: | Medicine ; volume 99, issue 29, page e21340 ; ISSN 0025-7974 1536-5964 |
| بيانات النشر: | Ovid Technologies (Wolters Kluwer Health) |
| سنة النشر: | 2020 |
| الوصف: | Rationale: 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. Patient concerns: We report here a case of 6 months-old-boy with a superficial glans ischemia following circumcision. Diagnosis: 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. Interventions: The patient was successfully treated with subcutaneous injection of enoxaparin (low-molecular-weight heparin) and topical 2.5% dihydrotestosterone. Outcomes: 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. Lessons: 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. |
| نوع الوثيقة: | article in journal/newspaper |
| اللغة: | English |
| DOI: | 10.1097/md.0000000000021340 |
| DOI: | 10.1097/MD.0000000000021340 |
| الاتاحة: | http://dx.doi.org/10.1097/md.0000000000021340 https://journals.lww.com/10.1097/MD.0000000000021340 |
| Rights: | http://creativecommons.org/licenses/by/4.0 |
| رقم الانضمام: | edsbas.7B761C1C |
| قاعدة البيانات: | BASE |
| DOI: | 10.1097/md.0000000000021340 |
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