Unusual Scrotal Injury by Cycle Hand Brake - A Case Report
International Journal of Medical Toxicology and Forensic Medicine,
Vol. 4 No. 1(Winter) (2014),
7 March 2014
,
Page 23-26
https://doi.org/10.22037/ijmtfm.v4i1(Winter).4495
Abstract
Background:Scrotal injury with perforation is not often reported in forensic medicine since it has been a topic of discussion in urology, as it requires various measures in prevention and reconstruction of the damaged scrotal tissues. Injuries of the scrotum and its adjoining structure may lead to temporary or permanent impotence or infertility or both impotence and infertility in males. Among the various reasons of genital injuries, blunt trauma is the commonest, followed by injuries like animal bite and self-mutilation. Some of these injuries are not reported but this type of injury requires immediate attention and treatment to prevent long term psychological and sexual dysfunction. Under section 320 IPC (Indian Penal Code 1860), the first clause defines emasculation as a result of amputation, direct assault, nerve injury other injuries caused by accidents, violent sexual act etc. leading to sexual disability.
Case Report: Here is a case of accidental scrotal injury that led to the perforation of the scrotum. The perforation was by blunt force derived from the hand breaks of a cycle which penetrated to the root of the penis.
Conclusion: As far as this particular case is concerned the penetrating scrotal injury may lead to sexual impotence and long term male sex hormone imbalance which may affect the physical and sexual performance of the patient.
- Scrotum
- Penetrating
- Perforation
- Accidental
How to Cite
References
Khan MK, Usmani MA, Hanif S.A. A case of self-amputation of penis by cannabis induced psychosis. J Forensic Leg Med. 2012;19:355-357.
Van- Horst C, Martinez-Portillo FJ, Seif C, Groth W, Junemann KP. Male genital injury: diagnostics and treatment. BJU International. 2004;93:927–930.
Finical SJ, Arnold PG. Care of the degloved penis and scrotum: a 25-year experience. Plast Reconstr Surg. 1999;104(7):2074-78.
Mc-Aninch J, Kahn RI, Jeffrey RB, Laing FC, Krieger MJ. Major traumatic and septic genital injuries. J Trauma. 1984;24:291–298.
Cass AS, Luxenberg M. Testicular injuries. Urology.1991;37:528–530.
Morey AF, Metro MJ, Carney KJ, Miller KS, Mc-Aninch JW. Consensus on genitourinary trauma, external genitalia. British Journal of Urology. 2004;94:507-515.
Gomez RG, Castanheira ACC, Mc-Aninch JW. Gunshot wounds to the male genitalia. J Urol. 1993;150:1147-49.
Cline KJ, Mata JA, Venable DD, Eastham JA. Penetrating trauma to the male genitalia. J Trauma. 1998;44:492-494.
Mcaninch JW. Management of genital skin loss. Urologic Clinics of North America. 1989;16(2):387–397.
Cline KJ, Mata JA, Venable DD, Eastham JA. Penetrating trauma to the male external genitalia. J Trauma. 1998;44:492-494.
Wan SP, Soderdahl DW, Blight EM. Non psychotic genital self-mutilation. J Urology. 1985;26:286–287.
Aboseif S, Gomez R, Aninch JW. Genital self-mutilation. J Urology. 1993;150:1143–46.
Pounder DJ. Ritual mutilation. Am J Forensic Med Path. 1983;4:227–229.
Paraskevas KI, Anagnostou D, Bouris C. An extensive traumatic degloving lesion of the penis. A case report and review of the literature. International Urology and Nephrology. 2003;35(4):523-527.
Gomes CM, Ribeiro-Filho L, Giron AM, Mitre AI, Figueira ER, Arap S. Genital trauma due to animal bites. J Urol. 2000;165:80-83.
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