Nadir Görülen Bir Olgu; Ateşli Silah Yaralanması Sonrası Penis İçinde Kalan Saçma Tanesi

Year 2018, , 212 - 216, 31.08.2018

Numan Baydilli , Emre Can Akınsal Hakan İmamoğlu

https://doi.org/10.24938/kutfd.370888

Abstract

Ateşli silah ile penis yaralanmaları oldukça az görülmektedir fakat sertleşme ve/veya işeme bozukluğu gibi komplikasyonları önlemek için, yaralanmanın hemen ve daima kapsamlı bir şekilde değerlendirilmesi gerekmektedir. Tedavi genellikle cerrahi bir müdahale ile olsa da bazı nadir olgular konservatif olarak da takip edilebilmektedir. Sunduğumuz bu olguda, ateşli silah yaralanması sonrası penis korpus kavernosum içinde kalan, herhangi bir penil fraktür kliniği oluşturmayan ve cerrahi bir girişim gerektirmeden tedavi edilen saçma tanesi olgusu sunulmuştur. Bildiğimiz kadarı ile ateşli silah yaralanması sonrası penis korpus kavernozum içinde kalan ve cerrahi bir müdahaleyi gerektirmeden tedavi edilen bu saçma tanesi literatürdeki ilk olgu niteliği taşıması bakımından dikkat çekicidir.

Keywords

Ateşli silah yaralanması, yara, penil travma

A RARE CASE: PELLET REMAINING IN THE PENIS AFTER SHOTGUN INJURY

Abstract

Firearms injuries to the penis are rarely seen but require immediate investigation to assess the extent of injury inorder to prevent complications such as erectile or/and urination dysfunction. Although the treatment is usually performed by surgical intervention, few patients can be followed conservatively. Herein, we present a case of a gunshot injury treated without any surgical intervention, in which a pellet was detected in the corpus cavernosum of penis and did not cause any symptoms of penile fracture. To the best of our knowledge, this is the first report in the literature regarding penile gunshot injury in which a pellet was retained in the corpus cavernosum and was treated without surgery. 

Keywords

Gunshot injury, wound, penile trauma

References

• 1. Mohr AM, Pham AM, Lavery RF, Sifri Z, Bargman V, Livingston DH. Management of trauma to the male external genitalia: the usefulness of American Association for the Surgery of Trauma organ injury scales. The Journal of Urology. 2003;170:2311-5.
• 2. Mirzazadeh M, Fallahkarkan M, Hosseini J. Penile fracture epidemiology, diagnosis and management in Iran: a narrative review. Transl Androl Urol. 2017;6(2):158-66.
• 3. Ficarra V, Caleffi G, Mofferdin A, Zanon G, Tallarigo C, Malossini G. Penetrating trauma to the scrotum and the corpora cavernosa caused by gunshot. Urologia Internationalis. 1999;62(3):192-4.
• 4. Gedik A, Kayan D, Yamis S, Yılmaz Y, Bircan K. The diagnosis and treatment of penile fracture: our 19-year experience. Ulus Travma Acil Cerrahi Derg. 2011;17(1):57-60.
• 5. Brandes SB, Buckman RF, Chelsky MJ, Hanno PM. External genitalia gunshot wounds: a ten-year experience with fifty-six cases. The Journal of Trauma. 1995;39(2):266-71; discussion 71-2.
• 6. Summerton DJ, Campbell A, Minhas S, Ralph DJ. Reconstructive surgery in penile trauma and cancer. Nat Clin Pract Urol. 2005;2(8):391-7.
• 7. Phonsombat S, Master VA, McAninch JW. Penetrating external genital trauma: a 30-year single institution experience. The Journal of Urology. 2008;180(1):192-5; discussion 5-6.
• 8. Jiachang W, Haien Z, Yuanguo L, Lei W, Zhoudan L, Hua Y. Gunshot Pellet Migration to the Right Ventricle: A Case Report and Literature Review. Indian J Surg. 2017;79(2):163-5.
• 9. Greaves N. Gunshot bullet embolus with pellet migration from the left brachiocephalic vein to the right ventricle: a case report. Scand J Trauma Resusc Emerg Med. 2010;18:36.