12 year old boy penis
17630182
Melkersson Rosenthal Syndrome with Genitalia Involved in a 12 Year Old Boy
Melkersson Rosenthal syndrome (MRS) is an uncommon granulomatous disease characterized by the triad of relapsing facial paralysis, orofacial swelling, and fissured tongue. Genital swelling in MRS is rarely reported. We presented the first case of complete MRS with genital swelling in a child. Biopsy examinations of both the child's lower lip and penis showed noncaseating granuloma and intralymphatic granuloma infiltration. No symptoms or signs of other systemic disease (Crohn's disease or sarcoidosis) were observed after 2 years of follow up. Genetic screening for CARD15/NOD2 in this patient showed negative, which further confirmed the diagnosis of MRS. Eleven other cases of suspected complete or incomplete MRS with genitalia involved were reviewed. Our case emphasizes the specific clinical feature of MRS with genitalia involved, which was genetically different from Crohn's disease and could be an independent entity. Lymphatic obstruction is responsible for localized edema in MRS.
Annals of dermatology
Zhaowei Chu Yanting Liu Huan Zhang Weihui Zeng Songmei Geng
29233648
Fournier's gangrene of the penis in a 12 year old patient secondary to phimosis.
We report a case of Fournier's gangrene in a 12 year old boy from St. Boniface Hospital in Fond des Blancs, Haiti. Fournier's gangrene, a fulminant necrotizing fasciitis of the penis and scrotum, is a rare and life threatening infection that requires hospitalization, broad spectrum antibiotics, and surgical debridement.1 3 It is usually associated with impaired cellular immunity due to systemic disorders such as diabetes and liver disease.4,5 This patient had none of those risk factors, but had severe, longstanding phimosis, for which circumcision had been recommended many years before. This case illustrates how lack of access to basic surgical care for an easily treatable condition leads to advanced presentation of a severe disease process. [Full article available at http:/rimed.org/rimedicaljournal 2016 12.asp]
Rhode Island medical journal
Luther E Ward Daniel L Eisenson Jean Louis Fils
70477714
Degloving Penile Trauma in a 12 Year Old Boy: Case Report
Degloving injury of the penis is rare in children. Management has been controversial and not much literature exists. We present a 12 year old boy who sustained a degloving penile trauma after assault. We managed him by primary suture and local fl aps with good cosmetic and functional results.
David Kihiko
39474488
[So called Norwegian scabies crustosa; lesions on the penis in a 12 year old boy]
Annales de dermatologie et de syphiligraphie
36081620
Interstitial cell tumor of the testis; study of a 5 year old boy with pseudo precocious puberty.
THE interstitial cells of the testis, which were first described by Leydig (1) occasionally may give rise to tumors. Eight such cases occurring in childhood have been described in the literature (2 9) In the pediatric age group these tumors occur mostly during the fifth and sixth years of life and apparently are invariably associated with signs of precocious masculinization. The present report describes an additional case of pseudo precocious puberty due to a testicular interstitial cell tumor in a 5 year old boy, and gives quantitative and qualitative information concerning his urinary steroid excretion. Report of Case This white boy, aged 5 3/12 years, was admitted for study because of precocious masculinization. Eight months earlier, it had been noted that his voice had become deeper, that he had suddenty begun to gain rapidly in height and weight, and that his penis was becoming larger than normal. At the same time, acne was seen on his face. Seven months before admission, pubic and axillary hair we.
The Journal of clinical endocrinology and metabolism
Charles D Cook R E Gross Benjamin H Landing A S Zygmuntowicz
208319355
Degloving injury to groin, scrotum and penis due to low velocity handlebar injury
Bicycles are a common cause of blunt abdominal trauma causing 5% 14% of injuries. However, impalement or shear injuries from low velocity mechanism of injury are rare. We report a case of a 14 year old boy presenting with an extensive left groin injury sustained while cycling one handed along the pavement at walking pace. The laceration ran for 12 14 cm from the left groin across the pubis to the right and 10 cm inferiorly into the perineum. This inverted the left scrotum and partially degloved the penis. The corpus cavernosa and tunica vaginalis were exposed up to the level of the superficial inguinal ring. Literature on handlebar impalement injuries is sparse and the majority of penile degloving injuries described in the literature result from alternative mechanisms. This unusual case demonstrates the potential forces involved, and potential damage resulting from handlebar injuries even at low velocity.
BMJ Case Reports
Hannah Thompson Oliver C Burdall Kokila Lakhoo
797168
Old Tools, Old Problems, New Solution: The Use of a Modified Cecil Culp Concept in the Trauma Setting.
A 12 year old boy sustained a close range shotgun wound with buckshot to the penis and lower abdomen. The proximal two thirds of the corpora cavernosa was obliterated and the distal third was thrombosed. All dorsal penile skin was lost. The urethra remained intact. The patient underwent multiple debridements, allowing the wound to declare its borders. Employing the tissue transfer concept used by Cecil and Culp in hypospadias repairs, the penis was marsupialized onto the suprapubic area where it remained for 8 months. After 8 months, the patient underwent a graft delaying procedure followed by a graft harvest 2 months later and penoplasty tubularization.
Urology
Dana A Weiss Zachary L Smith Jesse A Taylor Douglas A Canning
150214848
Fertility Preservation in an Adolescent with an Ovotesticular Disorder of Sexual Development
A 12 year old boy was referred to pediatric surgery for correction of right unilateral cryptorchidism. The surgeon suspected the presence of testicular and ovarian tissue in the right gonad, and so the child was further referred to a pediatric endocrinologist to investigate a disorder of sexual development (DSD) A biopsy was performed that revealed numerous primordial follicles and some primary and secondary follicles, surrounded by ovarian stroma and testicular parenchyma, with seminiferous tubules displaying Sertoli and germinal cells. Focal spermatogenesis was present as well as testicular stroma with focal Leydig cells. The patient had a male phenotype with a small penis with a slight ventral curve and a palpable, homogeneous, approximately 2 cc gonad in the left scrotum. The patient had been referred to another department in early childhood for correction of urogenital abnormalities, but no investigation or intervention was undertaken at that time.
Teresa Almeida-Santos Raquel Cardoso A Carvalho Ana Paula Sousa
72487640
Parameatal cyst of glans penis
The parameatal cyst is a very benign condition seen in boys. We report a case of a parameatal urethral cyst in a 12 year old boy. The cyst was recognized during early childhood, but the boy presented to our clinic at the age of 12 years, when the mass had grown enough to cause spraying of urine and poor cosmesis. A complete surgical excision was performed. Histologically, the cyst wall was lined by a tall columnar epithelium. Good cosmetic results, with no recurrence, were obtained.
Siddalingeshwar I Neeli Praveen Patne Suresh U Kadli Siddayya Hiremath
40132156
A misleading CD68 positive balloon cell nevus on the penis in a child.
ejd.2011.1471 Auteur(s) Hao Chen1, Jianfang Sun1, Yanning Xue2, Xuesi Zeng1 xsizeng@yahoo.com.cn 1 Institute of Dermatology, Chinese Academy of Medical Sciences, 12 Jiang wang miao Road, 210042 Nanjing, China 2 First affiliated hospital of Nanjing university of traditional Chinese Medicine, Nanjing, China A 10 year old Chinese boy presented a soy size lesion on the penis without tenderness for 1 year. It was a purple black soft papule measuring 0.6x0.5x0.5 cm. The lesion was excised without pathological
European journal of dermatology EJD
Hao Chen Jianfang Sun Yanning Xue Xue-si Zeng