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Management of an elderly patient with retention of a steel nail in the scrotum: a case report.

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اقرأ على الانترنت اقرأ أكثر حفظ في قائمتي
  • معلومة اضافية
    • المصدر:
      Publisher: PagePress Country of Publication: Italy NLM ID: 9308247 Publication Model: Electronic Cited Medium: Internet ISSN: 2282-4197 (Electronic) Linking ISSN: 11243562 NLM ISO Abbreviation: Arch Ital Urol Androl Subsets: MEDLINE
    • بيانات النشر:
      Publication: Pavia, Italy : PagePress
      Original Publication: Milano : Masson, c1993-
    • الموضوع:
      Foreign Bodies*/surgery ; Scrotum*; Humans ; Male ; Aged ; Stainless Steel ; Nails ; Tomography, X-Ray Computed
    • نبذة مختصرة :
      Background: The retention of foreign bodies inside the body during ludic/sexual procedures or for traumatism represents one of the causes of visits to accident and emergency departments that often requires surgical removal of the foreign body. However, there are cases where the discovery of such foreign bodies takes place after many years, as in patients that are slightly compromised from a neuro-sociological point of view.
      Case Presentation: A 76-year-old male presented to an outpatient urological examination due to an increase in scrotal volume. At the ultrasound check, an acoustic interference from a solid object was detected, for which computed tomography was requested. The computed tomography scan revealed the presence of an elongated metal body in the perineum. The removal of the foreign body in the operating theatre was then scheduled. A 10 cm long stainless-steel nail located within an abscessed foreign body granuloma was identified and removed via a scrotal access. Four days later, a new surgical toilet was performed due to minimal necrosis of the skin flaps. The patient then performed three more dressings in the operating theatre during the following week. Healing took place by secondary intention until a perfect healing of the surgical wound was obtained.
      Conclusions: Removal of foreign bodies from the perineum in case of infection can be challenging. Careful attention and postoperative dressings are crucial for the success of the case.
    • الرقم المعرف:
      12597-68-1 (Stainless Steel)
    • الموضوع:
      Date Created: 20240627 Date Completed: 20240627 Latest Revision: 20240627
    • الموضوع:
      20240627
    • الرقم المعرف:
      10.4081/aiua.2024.12363
    • الرقم المعرف:
      38934526