Strangulation de la verge par un anneau chez l’enfant

We report an unprecedented case of an 8-year old child with no particular pathological history presenting, accompanied by his parents, to the Pediatric Emergency Department with strangulation of the penis occurring 5 days earlier. The patient, curiously, had introduced his penis into a ring. The child had hidden the facts for fear and shame with the hope of being able to extract it alone. Given the gradual onset of pain and swelling of the glans associated with the inability to remove the ring, the patient was obliged to confess it to his parents who were embarrassed and furious. On admission he was conscious, without any psychic or behavioural disorder. Examination showed extensive edema of the penis downstream of a closed and extremely constrictive ring with good viability of the glans (A). The patient underwent ring shearing with cutting pliers (B), following previous protection of the penis. After one week, the patient showed complete regression of the edema with no sign of a urinary problem (C).