title: Ultrasound-guided dorsal penile nerve block performed in a case of zipper entrapment injury.
abstract: Injury to the penis resulting from zipper entrapment is a painful condition that presents a unique anesthetic challenge to the emergency physician and may even require procedural sedation for removal. In this case report, we describe successful removal of zipper entrapment from the penis of a 34-year-old patient after the application of an ultrasound-guided dorsal penile nerve block. We discuss the anatomy, sonographic features, and steps required for the nerve block procedure. © 2017 Wiley Periodicals, Inc. J Clin Ultrasound 45:589-591, 2017.
authors.affiliation: Mount Sinai St. Luke's Mount Sinai West Hospitals, Department of Emergency Medicine, 1000 10th Avenue, New York, NY.
authors.forename: Gabriel
authors.identifier: http://orcid.org/0000-0002-2852-3036
authors.initials: G
authors.lastname: Rose
authors.affiliation: Mount Sinai St. Luke's Mount Sinai West Hospitals, Department of Emergency Medicine, 1000 10th Avenue, New York, NY.
authors.forename: Vincent
authors.initials: V
authors.lastname: Costa
authors.affiliation: Mount Sinai St. Luke's Mount Sinai West Hospitals, Department of Emergency Medicine, 1000 10th Avenue, New York, NY.|Kaiser Permanente, Department of Emergency Medicine, San Leandro, CA.
authors.forename: Aaran
authors.initials: A
authors.lastname: Drake
authors.affiliation: Mount Sinai St. Luke's Mount Sinai West Hospitals, Department of Emergency Medicine, 1000 10th Avenue, New York, NY.
authors.forename: Sebastian D
authors.initials: SD
authors.lastname: Siadecki
authors.affiliation: Mount Sinai St. Luke's Mount Sinai West Hospitals, Department of Emergency Medicine, 1000 10th Avenue, New York, NY.
authors.forename: Turandot
authors.identifier: http://orcid.org/0000-0003-1923-2891
authors.initials: T
authors.lastname: Saul
mesh_terms: D000328:Adult; D000779:Anesthetics, Local / Q000008:administration & dosage; D000900:Anti-Bacterial Agents / Q000627:therapeutic use; D001414:Bacitracin / Q000627:therapeutic use; D052816:Foreskin / Q000000981:diagnostic imaging* / Q000293:injuries* / Q000473:pathology; D006801:Humans; D008012:Lidocaine / Q000008:administration & dosage; D008297:Male; D009336:Necrosis; D009407:Nerve Block / Q000379:methods*; D010409:Penile Diseases / Q000175:diagnosis / Q000188:drug therapy / Q000473:pathology*; D010413:Penis / Q000000981:diagnostic imaging / Q000293:injuries / Q000294:innervation; D060525:Pudendal Nerve / Q000000981:diagnostic imaging* / Q000187:drug effects; D018084:Ultrasonography, Interventional / Q000379:methods*
chemical_list: D000779:Anesthetics, Local; D000900:Anti-Bacterial Agents; D001414:Bacitracin; D008012:Lidocaine
keywords: dorsal penile nerve block; emergency; penile injury; ultrasound