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[Two Cases of Penoscrotal Strangulation].

Yoshitaka Matsumoto1, Keisuke Endo1, Yohei Omori1

  • 1The Department of Urology, Tsukuba Medical Center Hospital.

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Summary

Penoscrotal swelling caused by strangulating foreign objects, such as rubber bands or tow hooks, can be effectively treated by removing the object. Prompt intervention resolves this condition, improving patient outcomes.

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Area of Science:

  • Urology
  • Emergency Medicine
  • Trauma Surgery

Background:

  • Penoscrotal swelling can result from external constricting objects leading to strangulation.
  • Foreign body entrapment in the penoscrotal region presents unique diagnostic and management challenges.

Observation:

  • Two cases of penoscrotal strangulation are presented: one involving a rubber band in a 42-year-old man and another with an automobile tow hook in a 72-year-old man.
  • Both cases presented with significant penoscrotal swelling and required surgical or emergency intervention for object removal.

Findings:

  • Computed tomography identified a subcutaneous foreign object in the first case, leading to surgical removal of a rubber band.
  • The second case necessitated cutting an automobile tow hook with an electric saw due to self-removal failure.
  • Successful release of strangulation in both cases led to the resolution of penoscrotal swelling.

Implications:

  • Prompt diagnosis and intervention, including strangulation release, are crucial for managing penoscrotal swelling due to foreign bodies.
  • These cases highlight the diverse nature of objects causing penoscrotal strangulation and the importance of timely management.
  • Reviewing similar cases in Japan provides further insight into the epidemiology and treatment of penoscrotal strangulation.