Abstract
Three morbidly obese men aged 69, 49 and 45 years with respective BMIs of 46.3, 49.1 and 59.3 died suddenly from underlying cardiovascular disease. At autopsy all were found to have marked penile shortening typical of an entity known as “buried penis.” This condition arises in adulthood most commonly from morbid obesity as the penile shaft becomes enveloped by encroaching suprapubic adipose tissue. It is associated with infective, obstructive and malignant complications. Histology will be required to identify less-common causative conditions or any inflammatory or premalignant/malignant changes.
Highlights
A search was conducted of the case files of one of the authors (RWB) for males with morbid obesity listed in the autopsy database at Forensic Science SA, Adelaide Australia over a 20-year period from 2002–2021
Death was due to cardiomegaly with amyloid deposition complicating aortic valve replacement and morbid obesity
Morbid obesity is associated with an increased risk of cardiovascular disease including ischemic heart disease and pulmonary thromboembolism, endocrine disease including diabetes mellitus, and gastrointestinal, metabolic, respiratory
Summary
Keywords Buried penis · Morbid obesity · Koro · BMI · Autopsy assessment A search was conducted of the case files of one of the authors (RWB) for males with morbid obesity (body mass index, BMI, > 40 kg/meters2) listed in the autopsy database at Forensic Science SA, Adelaide Australia over a 20-year period from 2002–2021. Case 1: A 62-year-old morbidly obese man (body mass index—BMI 46.3) complained of shortness of breath and collapsed.
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