Penile dislocation with inversion: A rare complication of blunt pelvic injury
Penile injuries in children are usually uncommon and are predominantly associated with pelvic trauma or as postcircumcision injuries. The authors present a rare case of penile dislocation with penile inversion in a 5-year-old child occurring due to blunt pelvic injury. The child presented 3 months a...
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| Published in | Journal of Indian Association of Pediatric Surgeons Vol. 23; no. 2; pp. 90 - 92 |
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| Main Authors | , , , |
| Format | Journal Article |
| Language | English |
| Published |
India
Medknow Publications & Media Pvt. Ltd
01.04.2018
Medknow Publications & Media Pvt Ltd |
| Subjects | |
| Online Access | Get full text |
| ISSN | 0971-9261 1998-3891 1998-3891 |
| DOI | 10.4103/jiaps.JIAPS_71_17 |
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| Abstract | Penile injuries in children are usually uncommon and are predominantly associated with pelvic trauma or as postcircumcision injuries. The authors present a rare case of penile dislocation with penile inversion in a 5-year-old child occurring due to blunt pelvic injury. The child presented 3 months after pelvic injury with a suprapubic catheter for urinary diversion and absent penis with only penile skin visible. The presence of dislocated penile body was detected on magnetic resonance imaging, which was subsequently confirmed intraoperatively. During the surgery, the dislocated penis was identified and mobilized into its normal anatomical position within the remnant penile skin. Very few cases of penile dislocation have been reported in the literature. Pubic fracture with pulling of suspensory ligament resulting in dislocation of the penis would have been the probable mechanism of injury. |
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| AbstractList | Penile injuries in children are usually uncommon and are predominantly associated with pelvic trauma or as postcircumcision injuries. The authors present a rare case of penile dislocation with penile inversion in a 5-year-old child occurring due to blunt pelvic injury. The child presented 3 months after pelvic injury with a suprapubic catheter for urinary diversion and absent penis with only penile skin visible. The presence of dislocated penile body was detected on magnetic resonance imaging, which was subsequently confirmed intraoperatively. During the surgery, the dislocated penis was identified and mobilized into its normal anatomical position within the remnant penile skin. Very few cases of penile dislocation have been reported in the literature. Pubic fracture with pulling of suspensory ligament resulting in dislocation of the penis would have been the probable mechanism of injury.Penile injuries in children are usually uncommon and are predominantly associated with pelvic trauma or as postcircumcision injuries. The authors present a rare case of penile dislocation with penile inversion in a 5-year-old child occurring due to blunt pelvic injury. The child presented 3 months after pelvic injury with a suprapubic catheter for urinary diversion and absent penis with only penile skin visible. The presence of dislocated penile body was detected on magnetic resonance imaging, which was subsequently confirmed intraoperatively. During the surgery, the dislocated penis was identified and mobilized into its normal anatomical position within the remnant penile skin. Very few cases of penile dislocation have been reported in the literature. Pubic fracture with pulling of suspensory ligament resulting in dislocation of the penis would have been the probable mechanism of injury. Penile injuries in children are usually uncommon and are predominantly associated with pelvic trauma or as postcircumcision injuries. The authors present a rare case of penile dislocation with penile inversion in a 5-year-old child occurring due to blunt pelvic injury. The child presented 3 months after pelvic injury with a suprapubic catheter for urinary diversion and absent penis with only penile skin visible. The presence of dislocated penile body was detected on magnetic resonance imaging, which was subsequently confirmed intraoperatively. During the surgery, the dislocated penis was identified and mobilized into its normal anatomical position within the remnant penile skin. Very few cases of penile dislocation have been reported in the literature. Pubic fracture with pulling of suspensory ligament resulting in dislocation of the penis would have been the probable mechanism of injury. |
| Author | Munianjanappa, NarendraBabu Jadhav, Vinay Sahadev, Ravindra Shankar, Gowri |
| AuthorAffiliation | Department of Pediatric Surgery, Indira Gandhi Institute of Child Health, Bengaluru, Karnataka, India |
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| BackLink | https://www.ncbi.nlm.nih.gov/pubmed/29681700$$D View this record in MEDLINE/PubMed |
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| Copyright | 2018. This work is published under https://creativecommons.org/licenses/by-nc-sa/4.0/ (the “License”). Notwithstanding the ProQuest Terms and Conditions, you may use this content in accordance with the terms of the License. Copyright: © 2018 Journal of Indian Association of Pediatric Surgeons 2018 |
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| Keywords | suspensory ligament pull Pelvic trauma penile dislocation |
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| References | key-10.4103/0971-9261.228896-3 Masuda (key-10.4103/0971-9261.228896-4) 2004 Avery (key-10.4103/0971-9261.228896-6) 2013 Shiraki (key-10.4103/0971-9261.228896-2) 1969 Nicola (key-10.4103/0971-9261.228896-7) 2014 Lim (key-10.4103/0971-9261.228896-5) 2015 Fedel (key-10.4103/0971-9261.228896-8) 1996 Curr (key-10.4103/0971-9261.228896-1) 1946 |
| References_xml | – start-page: 186 volume-title: Traumatic dislocation of the penis year: 1969 ident: key-10.4103/0971-9261.228896-2 publication-title: J Urol – ident: key-10.4103/0971-9261.228896-3 – start-page: 66 volume-title: Dislocation of the penis year: 1946 ident: key-10.4103/0971-9261.228896-1 publication-title: Br J Urol – start-page: W512 volume-title: Imaging of traumatic injuries to the scrotum and penis year: 2014 ident: key-10.4103/0971-9261.228896-7 publication-title: AJR Am J Roentgenol – start-page: 1924 volume-title: The value of magnetic resonance imaging in the diagnosis of suspected penile fracture with atypical clinical findings year: 1996 ident: key-10.4103/0971-9261.228896-8 publication-title: J Urol – start-page: e4 volume-title: Dislocation of the penis: A rare complication after traumatic pelvic injury year: 2015 ident: key-10.4103/0971-9261.228896-5 publication-title: Singapore Med J – start-page: 6 volume-title: Surgical correction of buried penis after traffic accident – A case report year: 2004 ident: key-10.4103/0971-9261.228896-4 publication-title: BMC Urol – start-page: 721 volume-title: Imaging of penile and scrotal emergencies year: 2013 ident: key-10.4103/0971-9261.228896-6 publication-title: Radiographics |
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| SubjectTerms | Case Report Fractures Injuries Ligaments NMR Nuclear magnetic resonance Trauma Ultrasonic imaging Urine |
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| Title | Penile dislocation with inversion: A rare complication of blunt pelvic injury |
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