Penile Gangrene Due To Strangulation By A Metallic Nut: A Case Report And Review Of The Literature

Abstract

Background: Penile entrapment and subsequent strangulation is a serious injury that requires a prompt treatment to avoid gangrene. Objective: We report our experience dealing with a case of penile gangrene following strangulation by a metallic nut in a-middle aged Nigerian. Method: We summarized the case history, physical findings, investigations and operative treatment of a middle-aged man who slipped a round metallic nut over his penis, entrapping it for five days causing strangulation and subsequent gangrene. The literature on penile entrapment, strangulation and gangrene was also reviewed. Results: The patient presented in acute urinary retention and had complete gangrene of the penis. Suprapubic cystostomy was done and he had total penile amputation and perineal urethrostomy. Conclusion: Entrapment of the penis leading to strangulation is a rare condition that needs urgent relief, otherwise penile gangrene sets in, the treatment of which has very serious consequences.