Wedding ring in the wrong place: an unusual presentation of penile incarceration in a child with a wedding ring

An unusual case of penile incarceration in a 13-year-old boy is presented, with lessons to be learned for Accident and Emergency Department junior doctors in particular and for all in general. The presentation was misleading and the condition would have gone undiagnosed with fatal consequences without a team effort. The object used was a wedding ring in this case. Penile incarceration is not common in routine practice. The need for development of necessary paediatric history taking and examination techniques among Emergency Department doctors and staff is highlighted. Recalling the basics, this case report emphasises the importance of thorough physical examination. With early diagnosis and treatment, lifelong disabilities can be prevented.

[1]  W. Munir Critical analysis of the 4-hour A&E policys impact on elderly patients. , 2008, British journal of nursing.

[2]  A. Kadıoğlu,et al.  Treatment of penile incarceration in an impotent patient , 1995, International Urology and Nephrology.

[3]  M. El-Bahnasawy,et al.  Paediatric penile trauma , 2002, BJU international.

[4]  M. Detweiler,et al.  Penile incarceration: a wrapping technique. , 2001, The Journal of emergency medicine.

[5]  H. Guly A scale for measuring the severity of diagnostic errors in accident and emergency departments. , 1997, Journal of accident & emergency medicine.

[6]  A. Rana,et al.  Masturbation using metal washers for the treatment of impotence: painful consequences. , 1994, British journal of urology.

[7]  V. Vähäsarja,et al.  Treatment of penile incarceration by the string method: 2 case reports. , 1993, The Journal of urology.

[8]  B. B. Sinha Penile incarceration by a metallic object , 1988, The British journal of surgery.

[9]  L. Greenspan Tourniquet syndrome caused by metallic bands: a new tool for removal. , 1982, Annals of emergency medicine.

[10]  P. Shroff,et al.  An unusual case of strangulation of penis by metal hammer head: (a case report). , 1978, Journal of postgraduate medicine.

[11]  P. Schellhammer,et al.  A mode of treatment for incarceration of the penis. , 1973, The Journal of trauma.

[12]  W. Browning,et al.  A method of treatment for incarceration of the penis. , 1969, The Journal of urology.

[13]  H. A. Hoffman,et al.  Incarceration of the penis. , 1945, The Journal of urology.