[The management of a patient with foreskin strangulation by the pants zipper]

To demonstrate that strangulation of the prepuce needs immediate specialist care.

Presentation of a 8-years-old boy case with on entrapped foreskin in his pant's zipper.

After multiple attempts to remove the zipper under sedation, the case was referred to our service. The patient was surgically treated and his evolution was good.

Immediate care, individualization of each case, as well as the experience of the treating physician will dictate the approach to follow in each patient. Medical personnel in adult as well as pediatric emergency departments must be aware that it is a problem that requires immediate care and avoid doing empirical and/or heroic treatments.