Case Report: Penile necrosis associated to paraphimosis with calciphylaxis due to terminal chronic kidney disease [version 1; peer review: 2 approved]

Background: Penile necrosis is a rare condition that may present in patients with diabetes mellitus or chronic kidney disease (CKD). The recommended treatment is controversial. We report a case of penile necrosis in a diabetic patient caused by episode of paraphimosis associated with uremic arteriop...

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Bibliographic Details
Published in:F1000 research 2019, Vol.8, p.1133-1133
Main Authors: Antonio, Grandez-Urbina J, Corrales-Acosta, Elizabeth, Eduardo, Tejeda-Mariaca J, Pichardo-Rodriguez, Rafael, Garcia-Perdomo Herney
Format: Article
Language:English
Subjects:
Amputation
Antibiotics
Calcification
Calciphylaxis
Case Report
Case reports
Diabetes
Diabetes mellitus
Doppler effect
Emergency medical care
Family medical history
Hemodialysis
Hospitals
Ischemia
Kidney diseases
Medical prognosis
Mortality
Necrosis
Patients
Penis
Ultrasonic imaging
Ultrasound
Urology
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Summary:Background: Penile necrosis is a rare condition that may present in patients with diabetes mellitus or chronic kidney disease (CKD). The recommended treatment is controversial. We report a case of penile necrosis in a diabetic patient caused by episode of paraphimosis associated with uremic arteriopathy treated with partial amputation. Clinical Case: A 53-year-old male with a background of arterial hypertension, diabetes mellitus and CKD in hemodialysis. The patient presented with paraphimosis and glans necrosis. An emergency circumcision was carried out. A doppler ultrasound found fluid collection in the left corpus cavernosum, parietal vascular calcifications and vascular insufficiency in the corpus cavernosum that suggested necrosis. A partial amputation of the penis was carried out. After three years of follow-up, the outcome has remained favorable. Conclusions: Penile necrosis is a rare but serious complication of terminal CKD. In these patients, systemic calciphylaxis is usually observed. The main take-away lesson is that a multidisciplinary approach is necessary.
ISSN:2046-1402
2046-1402
DOI:10.12688/f1000research.18834.1