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Case Report: Penile necrosis associated to paraphimosis with calciphylaxis due to terminal chronic kidney disease.
- Source :
-
F1000Research [F1000Res] 2019 Jul 19; Vol. 8, pp. 1133. Date of Electronic Publication: 2019 Jul 19 (Print Publication: 2019). - Publication Year :
- 2019
-
Abstract
- Background : Penile necrosis is a rare condition that may present in patients with diabetes mellitus or chronic kidney disease (CKD). The recommended treatment is controversial. We report a case of penile necrosis in a diabetic patient caused by episode of paraphimosis associated with uremic arteriopathy treated with partial amputation. Clinical Case : A 53-year-old male with a background of arterial hypertension, diabetes mellitus and CKD in hemodialysis. The patient presented with paraphimosis and glans necrosis. An emergency circumcision was carried out. A doppler ultrasound found fluid collection in the left corpus cavernosum, parietal vascular calcifications and vascular insufficiency in the corpus cavernosum that suggested necrosis. A partial amputation of the penis was carried out. After three years of follow-up, the outcome has remained favorable. Conclusions : Penile necrosis is a rare but serious complication of terminal CKD. In these patients, systemic calciphylaxis is usually observed. The main take-away lesson is that a multidisciplinary approach is necessary.<br />Competing Interests: No competing interests were disclosed.
Details
- Language :
- English
- ISSN :
- 2046-1402
- Volume :
- 8
- Database :
- MEDLINE
- Journal :
- F1000Research
- Publication Type :
- Academic Journal
- Accession number :
- 31448110
- Full Text :
- https://doi.org/10.12688/f1000research.18834.1