Paediatric Penile Strangulation by a Metal Nut: Management and Literature Review

Abstract

We report the case of a 7‐year‐old, uncircumcised boy with no significant medical history, who inserted a metal nut onto the base of his penis during play. He presented to the emergency department after 5 hours of being unable to urinate, with significant penile oedema. Under local anaesthesia via a penile block, gentle reduction of the oedema allowed for the removal of the nut. A circumcision was subsequently performed, followed by antibiotic and analgesic therapy. The patient′s recovery was favourable. This case illustrates the rarity and potential severity of penile strangulation in children and underscores the importance of prompt and appropriate management.