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Epinephrine Injection Associated Scrotal Skin Necrosis

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Epinephrine Injection Associated Scrotal Skin Necrosis

Auteurs : Murat Gul [Turquie] ; Mehmet Kaynar [Turquie] ; Tamer Sekmenli [Turquie] ; Ilhan Ciftci [Turquie] ; Serdar Goktas [Turquie]

Source :

RBID : PMC:4491570

Abstract

Male circumcision is among the most frequent surgical interventions throughout history. Although considered as a minor intervention, it may have complications ranging from insignificant to catastrophic. These complications can be attributed to the surgical procedure and anesthesia. In this report we present two cases of scrotal skin necrosis after lidocaine with epinephrine injection using subcutaneous ring block technique prior to circumcision.


Url:
DOI: 10.1155/2015/187831
PubMed: 26185706
PubMed Central: 4491570

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PMC:4491570

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<p>Male circumcision is among the most frequent surgical interventions throughout history. Although considered as a minor intervention, it may have complications ranging from insignificant to catastrophic. These complications can be attributed to the surgical procedure and anesthesia. In this report we present two cases of scrotal skin necrosis after lidocaine with epinephrine injection using subcutaneous ring block technique prior to circumcision.</p>
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<journal-id journal-id-type="nlm-ta">Case Rep Urol</journal-id>
<journal-id journal-id-type="iso-abbrev">Case Rep Urol</journal-id>
<journal-id journal-id-type="publisher-id">CRIU</journal-id>
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<article-title>Epinephrine Injection Associated Scrotal Skin Necrosis</article-title>
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<name>
<surname>Gul</surname>
<given-names>Murat</given-names>
</name>
<xref ref-type="aff" rid="I1">
<sup>1</sup>
</xref>
<xref ref-type="corresp" rid="cor1">
<sup>*</sup>
</xref>
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<name>
<surname>Kaynar</surname>
<given-names>Mehmet</given-names>
</name>
<xref ref-type="aff" rid="I2">
<sup>2</sup>
</xref>
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<name>
<surname>Sekmenli</surname>
<given-names>Tamer</given-names>
</name>
<xref ref-type="aff" rid="I3">
<sup>3</sup>
</xref>
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<name>
<surname>Ciftci</surname>
<given-names>Ilhan</given-names>
</name>
<xref ref-type="aff" rid="I3">
<sup>3</sup>
</xref>
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<name>
<surname>Goktas</surname>
<given-names>Serdar</given-names>
</name>
<xref ref-type="aff" rid="I2">
<sup>2</sup>
</xref>
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<aff id="I1">
<sup>1</sup>
Department of Urology, Van Training and Research Hospital, 65100 Van, Turkey</aff>
<aff id="I2">
<sup>2</sup>
Department of Urology, Selcuk University School of Medicine, Turkey</aff>
<aff id="I3">
<sup>3</sup>
Department of Pediatric Surgery, Selcuk University School of Medicine, Turkey</aff>
<author-notes>
<corresp id="cor1">*Murat Gul:
<email>drgulacademics@gmail.com</email>
</corresp>
<fn fn-type="other">
<p>Academic Editor: Ferdinando Fusco</p>
</fn>
</author-notes>
<pub-date pub-type="ppub">
<year>2015</year>
</pub-date>
<pub-date pub-type="epub">
<day>22</day>
<month>6</month>
<year>2015</year>
</pub-date>
<volume>2015</volume>
<elocation-id>187831</elocation-id>
<history>
<date date-type="received">
<day>14</day>
<month>4</month>
<year>2015</year>
</date>
<date date-type="accepted">
<day>14</day>
<month>6</month>
<year>2015</year>
</date>
</history>
<permissions>
<copyright-statement>Copyright © 2015 Murat Gul et al.</copyright-statement>
<copyright-year>2015</copyright-year>
<license xlink:href="https://creativecommons.org/licenses/by/3.0/">
<license-p>This is an open access article distributed under the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.</license-p>
</license>
</permissions>
<abstract>
<p>Male circumcision is among the most frequent surgical interventions throughout history. Although considered as a minor intervention, it may have complications ranging from insignificant to catastrophic. These complications can be attributed to the surgical procedure and anesthesia. In this report we present two cases of scrotal skin necrosis after lidocaine with epinephrine injection using subcutaneous ring block technique prior to circumcision.</p>
</abstract>
</article-meta>
</front>
<floats-group>
<fig id="fig1" orientation="portrait" position="float">
<label>Figure 1</label>
<caption>
<p>(a) Skin necrosis with a crusty wound just below the penoscrotal junction following lidocaine injection in case 1. (b) Skin necrosis with a fallen shell wound just below the penoscrotal junction following lidocaine injection in case 2.</p>
</caption>
<graphic xlink:href="CRIU2015-187831.001"></graphic>
</fig>
<fig id="fig2" orientation="portrait" position="float">
<label>Figure 2</label>
<caption>
<p>(a) Appearances of case 1 and (b) case 2 following second surgery.</p>
</caption>
<graphic xlink:href="CRIU2015-187831.002"></graphic>
</fig>
</floats-group>
</pmc>
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