Life threatening complications

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    • Life threatening complications

      Fulminant urosepsis and postrenal acute renal failure


      He was circumcised on the second day of life with Plastibell device (Hollister, Libertyville, IL, USA) and discharged to home. On presentation to the ED, patient's weight was 2.83 kg, rectal temperature 37.83℃, heart rate 162 beats/min, respiratory rate 88 breaths/min, and pulse oximetry 97% on room air. He had a weak cry, scleral and cutaneous icterus, and marked abdominal distention with bilateral palpable renal masses. The Plastibell device was adherent to a very edematous glans penis with visible membrane occlusion of the urethra, and the penile skin above the device was necrotic.


      Patient had significant respiratory distress and became bradypneic and hence was intubated and placed on mechanical ventilation.


      Patient remained thrombocytopenic and was transfused with platelets when the count decreased to 15,000/µL. His hemoglobin decreased to 7.4 g/dL after hydration and blood loss following central venous line and arterial line catheterization. He received packed red blood cell transfusion. Patient was extubated on the third day of hospitalization and at this time urine output decreased to 3 mL/kg/hr and creatinine was 0.38 mg/dL. On the seventh day of hospitalization, patient was febrile and grew E. coli from the blood again after a previous negative blood culture


      Our patient developed urethral obstruction and subsequently hydronephrosis, acute renal failure, fulminant E.coli sepsis with disseminated intravascular coagulation and respiratory failure that required mechanical ventilation and aggressive fluid resuscitation in less than 48 hours from impaction of the Plastibell device. Furthermore, the acute and rapid onset of urosepsis led to pyelonephritis in our patient. Such complications could be fatal in a 4 day old neonate.


      Was für einen Mist man doch mit einem vier Tage alten Kind machen kann!

      synapse.koreamed.org/DOIx.php?….58.4.154&vmode=PUBREADER
      Deutscher Bundestag 2013: "Mädchen sind toll, so wie sie sind. Und niemand hat das Recht ihnen weh zu tun und an ihrer Vulva etwas abzuschneiden"
      Deutscher Bundestag 2012: "Jungen sind nicht unbedingt toll, so wie sie sind. Und alle Eltern haben das Recht ihnen weh zu tun und an ihrem Penis etwas abzuschneiden"
    • Plastibell device is widely used in neonates and infants as it is easy to use and circumcision can be safely performed even by trained nurses and in developing countries with low complication rates.


      Ist ja schon schlimm genug das dieser Eingriff gleich nach der Geburt gemacht wird, aber dann auch noch von einer Krankenschwester ?(
      Das kann ja was werden :thumbdown:
      Wenn 50 Millionen Menschen etwas Dummes sagen, bleibt es trotzdem eine Dummheit. (Anatole France)