Glans Ischemia after Circumcision in a 16-Year-Old Boy: Full Recovery after Angiography with Local Spasmolysis, Systemic Vasodilatation, and Anticoagulation
Circumcision is one of the most frequent procedures performed by pediatric surgeons. A dorsal penile nerve block (DPNB) is commonly used for perioperative analgesia. We report the case of a 16-year-old boy with ischemia of the glans who presented on the first postoperative day after circumcision und...
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Georg Thieme Verlag KG,
2018-01-01T00:00:00Z.
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| LEADER | 00000 am a22000003u 4500 | ||
|---|---|---|---|
| 001 | doaj_e874acadb54d4d898889a224bef673ea | ||
| 042 | |a dc | ||
| 100 | 1 | 0 | |a Richard Gnatzy |e author |
| 700 | 1 | 0 | |a Jochen Fuchs |e author |
| 700 | 1 | 0 | |a Manuela Siekmeyer |e author |
| 700 | 1 | 0 | |a Anne Bettina Beeskow |e author |
| 700 | 1 | 0 | |a Jan-Hendrik Gosemann |e author |
| 700 | 1 | 0 | |a Martin Lacher |e author |
| 245 | 0 | 0 | |a Glans Ischemia after Circumcision in a 16-Year-Old Boy: Full Recovery after Angiography with Local Spasmolysis, Systemic Vasodilatation, and Anticoagulation |
| 260 | |b Georg Thieme Verlag KG, |c 2018-01-01T00:00:00Z. | ||
| 500 | |a 2194-7619 | ||
| 500 | |a 2194-7627 | ||
| 500 | |a 10.1055/s-0038-1667330 | ||
| 520 | |a Circumcision is one of the most frequent procedures performed by pediatric surgeons. A dorsal penile nerve block (DPNB) is commonly used for perioperative analgesia. We report the case of a 16-year-old boy with ischemia of the glans who presented on the first postoperative day after circumcision under DPNB (0.25% bupivacaine) at an outside hospital. The patient underwent immediate angiography under sedation. An intra-arterial spasmolysis was performed with alprostadil and nitroglycerine and a sufficient perfusion of the glans penis was confirmed. Subsequently, systemic sildenafil, arginine, and heparin were given. Following this 3-day medical treatment, ischemia resolved completely. Our case emphasizes the role of invasive angiography in the diagnostic workup and the therapeutic possibilities of local spasmolysis, systemic vasodilatation, and anticoagulation. | ||
| 546 | |a EN | ||
| 690 | |a glans ischemia | ||
| 690 | |a children | ||
| 690 | |a digital subtraction angiography | ||
| 690 | |a Pediatrics | ||
| 690 | |a RJ1-570 | ||
| 690 | |a Surgery | ||
| 690 | |a RD1-811 | ||
| 655 | 7 | |a article |2 local | |
| 786 | 0 | |n European Journal of Pediatric Surgery Reports, Vol 06, Iss 01, Pp e66-e69 (2018) | |
| 787 | 0 | |n http://www.thieme-connect.de/DOI/DOI?10.1055/s-0038-1667330 | |
| 787 | 0 | |n https://doaj.org/toc/2194-7619 | |
| 787 | 0 | |n https://doaj.org/toc/2194-7627 | |
| 856 | 4 | 1 | |u https://doaj.org/article/e874acadb54d4d898889a224bef673ea |z Connect to this object online. |