ABSTRACT
Incidence of penile carcinoma is decreasing worldwide. Nevertheless, the incidence of penile cancer is still significant in various tropical countries, and it often presents in advanced stage. We report two unique cases of penile auto-amputation due to advanced cancer and review relevant literature. Both the patients presented with ulcerative lesion replacing penile base following automatic sloughing of the whole penis and voiding dysfunction. In addition, the first patient had metastatic inguinal lymph nodes. Supra-pubic urinary diversion was the initial management in both the patients. The first patient was treated with combined chemo-radiation, but he succumbed to death following two cycles of chemotherapy. The second patient was successfully treated with total penectomy and perineal urethrostomy. He recovered well but was lost to follow-up.
Subject(s)
Adult , Aged , Amputation, Traumatic/diagnosis , Amputation, Traumatic/etiology , Amputation, Traumatic/surgery , Fatal Outcome , Humans , Male , Penile Neoplasms/complications , Penile Neoplasms/diagnosis , Penile Neoplasms/surgery , Penis/pathology , Penis/surgeryABSTRACT
Descreve-se um caso raro de amputação parcial da língua em cão. O animal foi atendido no Hospital Veterinário da Universidade Federal do Piauí, com amputação traumática da língua, devido à mordedura por outro cão, em uma briga. Foi feita a sutura simples do segmento remanescente. O animal se recuperou completamente, com boa qualidade de vida. Concluiu-se que o cão se adapta bem à perda parcial da língua.
A rare case of partial tongue amputation in a male dog is described. The animal was admitted in the Universidade Federal do Piauí Veterinary Hospital with traumatic tongue amputation due to a bite during a fight with another dog. A simple suture of reminiscent segment was made. The animal recovered completely, having good life quality. It was conclude that dogs can adapt well to partial tongue amputation.
Subject(s)
Animals , Amputation, Traumatic/surgery , Amputation, Traumatic/diagnosis , Amputation, Traumatic/rehabilitation , Dogs , Tongue/surgery , Tongue/injuries , Tongue/pathologyABSTRACT
La hemipelvectomía traumática es una lesión devastadora, con un alto grado de mortalidad pero afortunadamente rara. El mecanismo etiológico es de alta energía resultando es una lesión ósea y de partes blandas de gran extensión. El diagnóstico se plantea con una luxación sacroilíaca y disrupción pubiana asociada a una extremidad inferior sin pulso y con lesión neurológica completa. El diagnóstico precoz y el tratamiento quirúrgico mediante hemipelvectomía abierta temprana para controlar el sangramiento son los factores principales para salvar la vida del paciente. El intentar una revascularización está contraindicado. La sepsis es una complicación casi de regla en estos pacientes. Se describe el caso de un paciente de 37 años tratado en nuestro centro que sufrió una hemipelvectomía traumática intervenida mediante hemipelvectomía abierta tras un intento de revascularización de la extremidad. El tratamiento agresivo multidisciplinario consiguió un resultado funcional aceptable considerando lo devastadora que son este tipo de lesiones