Abstract：
Glans ischemia is an extremely infrequent complication characterized by a total or partial compromise in the penile arterial perfusion. A 15-year-old male patient suffered an episode of ischemia in the glans penis post-circumcision 24 h after surgery. Intravenous treatment with continuous perfusion of pentoxifylline was started for 4 days, with favorable evolution. Complete resolution was observed with no sequelae. There is no consensus on the best therapeutic management. The favorable evolution reported in most of the cases despite different therapeutic approaches leads us to think that the role of the treatments proposed so far is probably less than we believe. Additionally, we present a proposal for a diagnostic and therapeutic guide for this entity. Although the evidence in the literature is scarce and this guideline should be interpreted with caution, we believe that it can constitute a support resource for cases similar to ours.
摘要：
Glans缺血是一种极为罕见的并发症，其特征是阴茎动脉灌注完全或部分受损。一名15岁的男性患者在包皮环切术后24小时在龟头阴茎缺血发作。开始连续灌注己酮可可碱的静脉治疗4天，有利的进化。观察到完全消退，没有后遗症。关于最佳治疗管理尚无共识。尽管有不同的治疗方法，但大多数情况下报道的有利进展使我们认为，迄今为止提出的治疗方法的作用可能比我们认为的要少。此外,我们提出了针对该实体的诊断和治疗指南的建议.尽管文献中的证据很少，并且应谨慎解释该指南，我们认为，它可以成为与我们类似的案件的支持资源。
