Severe External Genitalia Lesion by Firearm: A Case Report

Mahamat Ali Mahamat,Sidi Sougui,Choua Ouchemi,Serigne M Gueye,Olivier Ngaringuem,Mohamed Jalloh,Lamine Niang

doi:10.4236/oju.2015.510030

Abstract

Gunshot wounds to external genitalia are rare either in war field and civilian setting accounting for 2% - 4% of all injuries with often a lesion to the urinary tract. We report a case of external genital injury in a 27 years old man, accidentally injured by his own arm when he pressed the trigger of his gun placed in his pants. He had no past medical or surgical history, he presented to the emergency room (ER) with hemorrhagic scrotal and penile injuries with adjacent urethral tissue damage. He underwent a scrotal flap urethroplasty, and realignment of the corpus cavernosa and the tunica albugina. The patient lost his Foley catheter at post-operative day 3 and subsequently developed a urethral stenosis. Gunshot wounds to external genitalia are rare. A good reconstruction is necessary to avoid an impact on sexual and voiding function.

Highlights

Trauma to the external genitalia by gunshot is uncommon either in war field or in civilian setting accounting for 2% - 4% of all injuries and concerns mostly young population
We report a case of severe lesion to the external genitalia caused by gunshot followed by a review of the literature
Mr N E, 27 years old, was admitted to the surgical emergency ward one hour after a trauma to the external genitalia. He presented a lesion of the scrotum and penis with bleeding that occurred after he accidentally pressed the trigger of a gun placed in his pants

Summary

Introduction

Trauma to the external genitalia by gunshot is uncommon either in war field or in civilian setting accounting for 2% - 4% of all injuries and concerns mostly young population. They are potentially severe due to the possibility of urinary and sexual complications [1]. The potential complications are erectile dysfunction and urethral stricture. Such lesions can involve the digestive tract prompting a colostomy. We report a case of severe lesion to the external genitalia caused by gunshot followed by a review of the literature.

Case Report

Findings

Discussion