Severe External Genitalia Lesion by Firearm: A Case Report

Mahamat Ali Mahamat^1*, Sidi Sougui¹, Choua Ouchemi¹, Olivier Ngaringuem¹, Mohamed Jalloh², Lamine Niang², Serigne M. Gueye²

¹University of N’Djaména and National General Reference Hospital (HGRN), N’Djaména, Tchad.
²Grand Yoff General Hospital (HOGGY) of Dakar, Dakar, Senegal.

DOI: 10.4236/oju.2015.510030                

Abstract

Gunshot wounds to external genitalia are rare either in war field and civilian setting accounting for 2% - 4% of all injuries with often a lesion to the urinary tract. We report a case of external genital injury in a 27 years old man, accidentally injured by his own arm when he pressed the trigger of his gun placed in his pants. He had no past medical or surgical history, he presented to the emergency room (ER) with hemorrhagic scrotal and penile injuries with adjacent urethral tissue damage. He underwent a scrotal flap urethroplasty, and realignment of the corpus cavernosa and the tunica albugina. The patient lost his Foley catheter at post-operative day 3 and subsequently developed a urethral stenosis. Gunshot wounds to external genitalia are rare. A good reconstruction is necessary to avoid an impact on sexual and voiding function.

Keywords

Trauma, External Genitalia, Gunshot

Conflicts of Interest

The authors declare no conflicts of interest.

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