Auto-Digestion of Penis after Ring Block with Xylocaine & Adrenaline: A Lethal Iatrogenic Trauma

Abstract

A 10 years old insulin dependent diabetic male child presented with gradual blackening of penis and ketoacidosis after incision and drainage of abscess at penile shaft under penile ring block with xylocaine with adrenaline. Patient was managed for diabetes, debridement and SPC was done but process of gangrene continued; finally whole penis slough out. Perineal urethrostomy was done and patient was advised for penile reconstruction later on