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Diving Hyperb Med ; 54(2): 133-136, 2024 Jun 30.
Article in English | MEDLINE | ID: mdl-38870956

ABSTRACT

Hyperbaric oxygen treatment (HBOT) can be utilised for necrotising soft tissue infections, clostridial myonecrosis (gas gangrene), crush injuries, acute traumatic ischaemia, delayed wound healing, and compromised skin grafts. Our case was a 17-month-old male patient with Noonan syndrome, idiopathic thrombocytopenic purpura, and bilateral undescended testicles. Haematoma and oedema developed in the scrotum and penis the day after bilateral orchiopexy and circumcision. Ischaemic appearances were observed on the penile and scrotal skin on the second postoperative day. Enoxaparin sodium and fresh frozen plasma were started on the recommendation of haematology. Hyperbaric oxygen treatment was initiated considering the possibility of tissue necrosis. We observed rapid healing within five days. We present this case to emphasise that HBOT may be considered as an additional treatment option in patients with similar conditions. To our knowledge, no similar cases have been reported in the literature.


Subject(s)
Circumcision, Male , Hematoma , Hyperbaric Oxygenation , Noonan Syndrome , Orchiopexy , Humans , Male , Hyperbaric Oxygenation/methods , Hematoma/etiology , Hematoma/therapy , Circumcision, Male/adverse effects , Noonan Syndrome/complications , Noonan Syndrome/therapy , Infant , Orchiopexy/methods , Cryptorchidism/complications , Cryptorchidism/surgery , Cryptorchidism/therapy , Purpura, Thrombocytopenic, Idiopathic/complications , Purpura, Thrombocytopenic, Idiopathic/therapy , Scrotum/injuries , Penile Diseases/etiology , Penile Diseases/therapy , Postoperative Complications/therapy , Postoperative Complications/etiology , Enoxaparin/therapeutic use , Enoxaparin/administration & dosage , Plasma , Edema/etiology , Edema/therapy
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