Abstract
We report the case of a child with a delayed presentation of penile strangulation with a coil of hair that resulted in a complete transection of the urethra. Hair coil strangulation of the penis is uncommon. It is also known as penile Tourniquet syndrome. It has been reported with circumcised and uncircumcised penises and it can lead to serious complications like the amputation of the penis. Prompt diagnosis and treatment are necessary to prevent complications.
Highlights
We report the case of a child with a delayed presentation of penile strangulation with a coil of hair that resulted in a complete transection of the urethra
Six months later the patient presented with a urethrocutaneous fistula that was repaired surgically and the child was able to pass urine normally
Predisposing factors include circumcision, mental retardation, enuresis and low socio-economic status. It is reported almost exclusively in circumcised boys, Imran et al reported a single case of penile strangulation with complete urethral transection and corporal injury in an uncircumcised boy inflicted by ligation of thread at the base of the penis
Summary
We report the case of a child with a delayed presentation of penile strangulation with a coil of hair that resulted in a complete transection of the urethra. An eight year-old-circumcised boy was referred to our department because of a progressive onset of a penile pain and swelling. Physical examination revealed a hair coiled tightly around the coronal sulcus causing a complete section of the urethra The coil of hair was removed surgically under general anesthesia.
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