Self-inflicted gunshot injury to the external genitalia: a case report and review of literature

Background Gunshot wounds of the external genitalia are rare. Rarer still are civilian self-inflicted gunshot wounds of the external genitalia. The protocol for the management of gunshot wounds of the penis especially with respect to urethral injuries is not fully established. Case presentation We present a 27-year-old male undergraduate student, who accidentally shot himself in the penis. He sustained American Association for the Surgery of Trauma (AAST) grades IV to V injuries to the penis, scrotum and left testes. He was managed in a multistage, multi-disciplinary fashion including staged buccal mucosal graft repair of 4 cm proximal penile urethral defect with satisfactory cosmetic and functional outcome. Conclusions Excellent functional and cosmetic results may be obtained after severe penetrating trauma to the external genitalia even in low resource centres in the hands of non-reconstructive urologists. Buccal mucosal graft is a viable option for two stage reconstruction of the urethra.

Stomatitis aftosa rekuren oleh karena anemia

Recurrent aphthous stomatitis (RAS) is the common lesion in oral cavity. The etiologyof RAS remains unclear. The trigger factors are genetic, traumatic, abnormalimmunology, digestive diseases, hormonal disturbance, HIV, stress, infection andnutrition deficiency. This is a case report of a patient with minor, multiple, pain, whitecolor ulcer with erythema halo on lips palatum and tongue mucous. One day beforethe ulcers erupted, prodromal symptoms had occurred such as subfebris, malaise, anddizziness. The patient was 19-year-old, male, undergraduate student and with historyof ulceration every month. The clinical diagnosis was primary herpeticgingivostomatitis. The differential diagnosis was RAS. The complete blood count(CBC) result indicated that the patient suffered anemia. He was provided withbenzydamin HCl gargle and oral supplement contain ferrous, vitamins, and minerals.It can be concluded that anemia can be a trigger factor of RAS. Therefore, it isimportant for the dentist to know the clinical signs and manifestations of anemia inoral cavity in order to provide an appropriate treatment.