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Penile strangulation: report of a fatal case
Benito Morentin1, Begoña Biritxinaga, Lourdes Crespo
1Section of Pathology, Forensic Pathology Service, Basque Institute of Legal Medicine, Bilbao, Bizkaia, Spain. morentin.b@aju.ej-gv.es
The American Journal of Forensic Medicine and Pathology
|November 22, 2011
Summary
Penile strangulation, though rare, can lead to severe complications. This case highlights a fatal outcome due to delayed treatment of penile strangulation with a plastic bottle neck.
Area of Science:
- Urology
- Forensic Pathology
Background:
- Penile strangulation is an uncommon condition requiring immediate medical intervention.
- Reported complications include necrosis, gangrene, and amputation, but fatalities are rare.
Observation:
- A case of an adult male presenting with penile strangulation due to a plastic bottle neck is detailed.
- The duration of strangulation was estimated between 10 to 14 days.
- The patient's refusal to seek timely medical help contributed to the severe progression.
Findings:
- Autopsy revealed penile strangulation, extensive necrosis of the penis, acute pyelonephritis, and bronchopneumonia.
- These findings indicate a cascade of severe complications arising from prolonged strangulation.
Implications:
- This case underscores the critical importance of prompt medical attention for penile strangulation to prevent life-threatening consequences.
- It highlights the potential for fatal outcomes in cases of delayed treatment and the need for increased awareness among healthcare providers and the public.

