PDF(Pubmed)
Abstract：
Acute ischemia of the glands is a severe complication after circumcision. We outline the challenging case of a seventeen-year-old boy with glandular ischemia (GI) that appeared shortly after circumcision. Methods: We present a case report and literature review related to glans ischemia, and the complications of circumcision are reviewed. We note that there are very few cases described in the literature. Our patient was successfully treated with hyperbaric oxygen therapy (HBOT) after four days of no positive effect after all medical and surgical treatments written in the literature: Subcutaneous enoxaparin, local application of a glyceryl trinitrate, continuous epidural perfusion, intravenous pentoxifylline, alprostadil, intraoperative drainage, and aspiration with saline solution and epinephrine. Clinical improvement was noted at the first session of HBOT. A number of days after the operation, the penis looked normal and was healing. Complete healing of the penile glans was successfully realized one month after surgery. Conclusion: Based on the review and the case presented, we conclude that HBOT is the treatment of choice for acute ischemia of the penile glans, especially when other treatments do not work.
摘要：
急性腺体缺血是包皮环切术后的严重并发症。我们概述了包皮环切术后不久出现的17岁男孩腺体缺血（GI）的挑战性病例。方法：我们提供一例与龟头缺血相关的病例报告和文献复习，并对包皮环切术的并发症进行综述。我们注意到文献中描述的案例很少。我们的病人成功地接受了高压氧治疗（HBOT）四天后，在所有药物和手术治疗后没有积极的效果写在文献：皮下依诺肝素，局部应用三硝酸甘油酯，连续硬膜外灌注,静脉注射己酮可可碱,前列地尔,术中引流,用生理盐水和肾上腺素吸入。在HBOT的第一届会议上注意到临床改善。手术后几天，阴茎看起来正常，正在愈合。手术后一个月成功实现了阴茎头的完全愈合。结论：在回顾和案例介绍的基础上，我们得出的结论是，HBOT是阴茎龟头急性缺血的首选治疗方法，特别是当其他治疗无效时。
