Saç-iplik turnike sendromu: Bir olgu sunumu

Year 2025, Volume: 16 Issue: 2, 74 - 75, 29.06.2025

Furkan Tayiz , Muhammet Gökhan Turtay , Mustafa Çiftçi , Emirhan Ünlü

Abstract

Özet
Giriş: Saç-iplik turnike sendromu (HTTS), saç tellerinin vücut uzantılarına dolanmasıyla oluşan ve doku kaybı gibi ciddi komplikasyonlara yol açabilen nadir bir durumdur. Bu olgu sunumunda, acil servise penis ağrısı ve dizüri şikayetiyle gelen 2 yaşında bir erkek çocukta tespit edilen bir HTTS vakasını sunmayı amaçlıyoruz.
Olgu sunumu: İki yaşında bir erkek hasta, 24 saattir devam eden penis ağrısı, kızarıklık ve idrar yaparken yanma hissi şikayetiyle acil servise başvurdu. Fizik muayenede peniste ödem, eritem ve dairesel daralma görüldü. Ayrıntılı muayenede penise dolanmış bir saç teli görüldü. Saç, lokal anestezi altında kesilerek çıkarıldı. Doppler ultrasonografisi normal dolaşımı doğruladı. Hasta, şikayetleri azaldığı için dört saatlik gözlemden sonra taburcu edildi.
Sonuç: Açıklanamayan huzursuzluğu olan bebeklerde HTTS konusunda dikkatli olunmalı ve bu sendromun ortaya çıkabileceği alanların dikkatlice incelenmesi gerektiği unutulmamalıdır.
References
1. Arkoubi AY, Salati SA. Hair-Thread Tourniquet Syndrome: A Comprehensive Review. Cureus 2024;16(5):e60832.
2. Sivathasan N, Vijayarajan L. Hair-thread tourniquet syndrome: a case report and literature review. Case Rep Med 2012;2012:171368.
3. Mat Saad AZ, Purcell EM, McCann JJ. Hair-thread tourniquet syndrome in an infant with bony erosion: a case report, literature review, and meta-analysis. Ann Plast Surg 2006;57(4):447-52.
4. Annattah S, Haita A, Andaloussi S, El Madi A. Penile Tourniquet Syndrome by Hair in Children: Case Report. Asian J Case Rep Surg 2024;7(1):165-9.
5. Booth J, Morse T. Hair toe tourniquets: a review of two case studies. Emergency nurse 2018;26(2):31-5.

Keywords

Saç-iplik turnike sendromu, pediatrik acil, penis

Hair-thread tourniquet syndrome: A case report

Abstract

Abstract
Introduction: Hair-thread tourniquet syndrome (HTTS) is a rare condition that occurs when hair strands wrap around body appendages, potentially leading to serious complications such as tissue loss. In this case report, we aim to present an HTTS case identified in a 2-year-old male child who presented to the emergency department with penile pain and dysuria.
Case report: A two-year-old male patient presented to the emergency department with complaints of penile pain, redness, and burning sensation during urination that had persisted for 24 hours. Physical examination revealed edema, erythema, and circular constriction on the penile shaft. Detailed examination showed a hair strand wrapped around the penis shaft. The hair was removed by cutting under local anesthesia. Doppler ultrasonography confirmed normal circulation. The patient was discharged after four hours of observation as his complaints subsided.
Conclusion: In infants with unexplained restlessness, one should be cautious about HTTS, and it should not be forgotten that areas where this syndrome may occur should be carefully examined.
References
1. Arkoubi AY, Salati SA. Hair-Thread Tourniquet Syndrome: A Comprehensive Review. Cureus 2024;16(5):e60832.
2. Sivathasan N, Vijayarajan L. Hair-thread tourniquet syndrome: a case report and literature review. Case Rep Med 2012;2012:171368.
3. Mat Saad AZ, Purcell EM, McCann JJ. Hair-thread tourniquet syndrome in an infant with bony erosion: a case report, literature review, and meta-analysis. Ann Plast Surg 2006;57(4):447-52.
4. Annattah S, Haita A, Andaloussi S, El Madi A. Penile Tourniquet Syndrome by Hair in Children: Case Report. Asian J Case Rep Surg 2024;7(1):165-9.
5. Booth J, Morse T. Hair toe tourniquets: a review of two case studies. Emergency nurse 2018;26(2):31-5.

Keywords

Hair-thread tourniquet syndrome, pediatric emergency, penis

References

• 1. Arkoubi AY, Salati SA. Hair-Thread Tourniquet Syndrome: A Comprehensive Review. Cureus 2024;16(5):e60832.
• 2. Sivathasan N, Vijayarajan L. Hair-thread tourniquet syndrome: a case report and literature review. Case Rep Med2012;2012:171368.
• 3. Mat Saad AZ, Purcell EM, McCann JJ. Hair-thread tourniquet syndrome in an infant with bony erosion: a case report, literature review, and meta-analysis. Ann Plast Surg 2006;57(4):447-52.
• 4. Annattah S, Haita A, Andaloussi S, El Madi A. Penile Tourniquet Syndrome by Hair in Children: Case Report. Asian J Case Rep Surg 2024;7(1):165-9.
• 5. Booth J, Morse T. Hair toe tourniquets: a review of two case studies. Emergency nurse 2018;26(2):31-5.
• 6. Kudzinskas A, Reed A, Mahdi M, Tyler M. Evaluation of Depilatory Agents in the Treatment of Hair-Thread Tourniquet Syndrome. J Emerg Med 2021;61(5):507-16.