PEDIATRICS Vol. 39 No. 5 May 1967, pp. 774-776
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Glans Necrosis as a Complication of Circumcision

JONATHAN BENENSOHN ROSEFSKY M.D.1

1 Children's Hospital Medical Center, Boston, Massachusetts 02115

An 8 lb, 7 oz full-term, breech-delivery baby was born after a 36-hour labor. With a technique first described by Kariher and Smith in 1956, circumcision was performed at about 12 hours of age, utilizing a plastic flange-like ring which fitted over the glans and under the excess skin of the prepuce; a ligature was tied tightly over the excess skin which lay on the plastic ring. At age 24 hours, the baby was observed to have a moderately edematous scrotum, one-plus pitting leg edema, and a black, necrotic-appearing glans (Fig.1).

The ligature and the plastic ring were removed, without bleeding, following which the glans gradually became quite swollen and slightly moist over the following 12 hours.


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Home page
 Arch Pediatr Adolesc MedHome page
R. E. Johnsonbaugh, B. P. Meyer, and J. D. Catalano
Complication of a Circumcision Performed With a Plastic Bell Clamp
Arch Pediatr Adolesc Med, November 1, 1969; 118(5): 781 - 781.
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