title: Penile strangulation: report of a fatal case.
abstract: Penile strangulation or entrapment is an unusual entity that requires urgent treatment due to its potential complications. Several cases have been reported in the medical literature, some of them describing serious injuries such as necrosis, gangrene, and amputation of the penis. However, as far as we know, no fatal cases have been described before. We present the death of an adult male secondary to the complications due to penile strangulation with a plastic bottle neck. The time of incarceration was unknown, but according to a witness it could be about 10 to 14 days. The findings of autopsy were penile strangulation, necrosis of the penis, acute pyelonephritis, and bronchopneumonia. The subject's refusal to ask for medical help was the cause of this atypical evolution.
authors.affiliation: Section of Pathology, Forensic Pathology Service, Basque Institute of Legal Medicine, Bilbao, Bizkaia, Spain. morentin.b@aju.ej-gv.es
authors.forename: Benito
authors.initials: B
authors.lastname: Morentin
authors.forename: Begoña
authors.initials: B
authors.lastname: Biritxinaga
authors.forename: Lourdes
authors.initials: L
authors.lastname: Crespo
mesh_terms: D003251:Constriction, Pathologic; D049429:Forensic Pathology; D005734:Gangrene / Q000473:pathology; D006801:Humans; D008297:Male; D008875:Middle Aged; D009102:Multiple Organ Failure / Q000209:etiology*; D009336:Necrosis / Q000473:pathology; D009504:Neutrophils / Q000473:pathology; D010413:Penis / Q000098:blood supply* / Q000293:injuries / Q000473:pathology*; D012772:Shock, Septic / Q000150:complications / Q000209:etiology*; D013927:Thrombosis / Q000473:pathology