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 

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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.