Circumcision refers to the removal of the skin covering the tip of the penis and is one of the most common surgical procedures performed in childhood.Even though circumcision is a well-standardized operation,several m...Circumcision refers to the removal of the skin covering the tip of the penis and is one of the most common surgical procedures performed in childhood.Even though circumcision is a well-standardized operation,several minor and major complications may be experienced by paediatric surgeons.Glans ischemia(GI)has been widely reported in the paediatric literature as a complication following circumcision.Nonetheless,etiopathogenesis of GI is not well defined and management guidelines are lacking.CASE SUMMARY We describe our experience with this rare and scary complication using subcutaneous enoxaparin alone or in association with a topical vasodilator.CONCLUSION Hypothetical causes and different management strategies are discussed.展开更多
A 15-day old full-term newborn was admitted to the emergency department for right scrotal swelling,irritability and poor feeding that started 12 hours earlier,without fever or vomiting.Parents reported that his last d...A 15-day old full-term newborn was admitted to the emergency department for right scrotal swelling,irritability and poor feeding that started 12 hours earlier,without fever or vomiting.Parents reported that his last defecation occurred 3 days before admis-sion.Physical examination was remarkable for a swollen,erythematous and tender right hemiscrotum(figure 1).展开更多
文摘Circumcision refers to the removal of the skin covering the tip of the penis and is one of the most common surgical procedures performed in childhood.Even though circumcision is a well-standardized operation,several minor and major complications may be experienced by paediatric surgeons.Glans ischemia(GI)has been widely reported in the paediatric literature as a complication following circumcision.Nonetheless,etiopathogenesis of GI is not well defined and management guidelines are lacking.CASE SUMMARY We describe our experience with this rare and scary complication using subcutaneous enoxaparin alone or in association with a topical vasodilator.CONCLUSION Hypothetical causes and different management strategies are discussed.
文摘A 15-day old full-term newborn was admitted to the emergency department for right scrotal swelling,irritability and poor feeding that started 12 hours earlier,without fever or vomiting.Parents reported that his last defecation occurred 3 days before admis-sion.Physical examination was remarkable for a swollen,erythematous and tender right hemiscrotum(figure 1).
