Journal Basic Info

  • Impact Factor: 1.809**
  • H-Index: 6
  • ISSN: 2474-1655
  • DOI: 10.25107/2474-1655
**Impact Factor calculated based on Google Scholar Citations. Please contact us for any more details.

Major Scope

  •  Transplantation Medicine
  •  Anesthesiology and Pain Medicine
  •  ENT
  •  Gastroenterology
  •  Women’s Health Care
  •  Orthopedic Sugery
  •  Nursing
  •  Medical Radiography

Abstract

Citation: Ann Clin Case Rep. 2017;2(1):1391.DOI: 10.25107/2474-1655.1391

Genitalia Gangrene Secondary to High Inotropic Support: A Case Report

Jia-Lun Kwok, Daniel Yong and Yee Mun Lee

Department of Urology, Tan TockSeng Hospital, Singapore

*Correspondance to: Jia-Lun Kwok 

 PDF  Full Text Case Report | Open Access

Abstract:

genitalia gangrene. This is a 54 year old gentleman with pT4N0M1a Recto-sigmoid Cancer and bladder extension post high Anterior Resection with partial cystectomy three years prior. He developed intra-abdominal sepsis with shock and was transferred to the intensive care unit with dual high dose inotropes and developed distal bilateral upper limb gangrene. He was noted on day 6 of inotropic support to have dry penile-scrotal gangrene with scrotal edema. Surgical debridement was discussed but family declined in view of the overall poor prognosis and was thus conservatively managed. The gangrene remained dry and demarcated to the superficial skin layer with sloughing on day 16of inotropic support. This suggests a need for vigilance and detailed examination including the genitalia in patients on high dose inotropes. However, it is still a very rare complication.

Keywords:

Infection; Bladder cancer; Inotropes

Cite the Article:

Kwok J-L, Yong D, Lee YM. Genitalia Gangrene Secondary to High Inotropic Support: A Case Report. Ann Clin Case Rep. 2017; 2: 1391.

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