Elephantiasis nostras verrucosa complicated with chronic tibial osteomyelitis

Turhan E. | Ege A. | Keser S. | Bayar A.

Article | 2008 | Archives of Orthopaedic and Trauma Surgery128 ( 10 ) , pp.1183 - 1186

Elephantiasis nostras verrucosa represents an infrequent clinical entity with cutaneous changes characterized by dermal fibrosis, hyperkeratotic verrucous and papillamotous lesions resulting from chronic non-filarial lymphedema secondary to infections, surgeries, tumor obstruction, radiation, congestive heart failure, and obesity. Although recurrent streptococcal lymphangitis is believed to play a critical role in the origin of elephantiasis nostras verrucosa, the exact pathogenesis of the disorder is not yet clear. Therapeutic efforts should aim to reduce lymph stasis, which will also lead to improvement of the cutaneous changes bu . . .t unfortunately there is no specific treatment for advanced cases. In this report, we present a patient who was treated by below knee amputation as a result of elephantiasis nostras verrucosa complicated with chronic tibial osteomyelitis. © Springer-Verlag 2007 Daha fazlası Daha az

Subtotal self-amputation of the penis and bilateral self-orchiectomy followed by suicide by hanging: Case report [Kendi kendine subtotal penis amputasyonu ve bilateral orşidektomiyi takiben ası yöntemiyle intihar]

Erkol Z. | Şirin G. | Erkol H. | Yilmaz R. | Ince H. | Konuk N.

Article | 2012 | Turkiye Klinikleri Journal of Medical Sciences32 ( 3 ) , pp.869 - 873

We presented a case that had self-amputated his penis partly, performed bilateral selforchiectomy and then committed suicide. The case was a-80-year-old male with a urinary catheter for the last year for an urologic problem, who was using alprazolam for a psychiatric disorder. He had history of attempted suicide, one year ago. The victim was found by his wife hanged to the balcony railing. Distal 1/2 part of his penis was amputated and the penis amputate was found beside the body, as well as both of his testicles. In the autopsy examination, macroscopic examination of the amputated items revealed penile ecchymosis around the cut sid . . .e of the skin and benign prostate hypertrophy and chronic prostatitis was diagnosed with microscopic examination of the prostate gland. The paper discussed the characteristics of the victim and the manner of the presented case; a genital self-amputation case followed by suicide or a failed suicide case completed by hanging method (a complex suicide case). © 2012 by Türkiye Klinikleri Daha fazlası Daha az

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