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Case Reports
. 2007 Apr;23(2):208-10.
doi: 10.4103/0970-1591.32081.

Penile gangrene in diabetes mellitus with renal failure: A poor prognostic sign of systemic vascular calciphylaxis

Mayank Mohan Agarwal  1 , Shrawan K Singh, Arup K Mandal
Affiliations
Case Reports

Penile gangrene in diabetes mellitus with renal failure: A poor prognostic sign of systemic vascular calciphylaxis

Mayank Mohan Agarwal et al. Indian J Urol. 2007 Apr.

Abstract

Penile gangrene associated with chronic renal failure is very uncommon. A 52-year-old man with diabetes mellitus, diffuse atherosclerosis, ischemic cardiomyopathy and end-stage renal disease presented with blackening of distal penis for 10 days. His general condition was poor and gangrene of prepuce and glans was noted. Doppler and magnetic-resonance angiography revealed bilateral internal iliac artery obstruction. He underwent trocar suprapubic cystostomy and was planned for partial penectomy. But he died of severe diabetic complications in the interim period. Penile gangrene is a manifestation of widespread vascular calcifications associated with end-stage renal disease and is a marker of poor prognosis.

Keywords: Calciphylaxis; gangrene; penis.

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Conflict of interest statement

Conflict of Interest: None declared.

Figures

Figure 1
Figure 1
Clinical photograph of the patient's genitalia showing blackening of distal half of penile skin and glans suggestive of gangrene
Figure 2
Figure 2
Magnetic resonance angiography showing critical narrowing of bilateral internal iliac arteries
See this image and copyright information in PMC

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