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All Journal JKKI : Jurnal Kedokteran dan Kesehatan Indonesia Brawijaya Journal of Urology
Wibawa, Putu Chandra
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Health Professions Medicine & Pharmacology Public Health

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A 7-year-old Male with Penile Hemangioma: A Case Report Farrelin, Dellananda Christ; Wibawa, Putu Chandra
Brawijaya Journal of Urology Vol. 5 No. 02 (2025): Brawijaya Journal of Urology
Publisher : Department of Urology, Faculty of Medicine, Universitas Brawijaya

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.11594/bjurology.2025.005.02.2

Abstract

Introduction. Penile hemangioma is a vascular malformation and it is considered rare, with 1-2% of all hemangiomas occurring. The aim of this report is to provide information and the management of penile hemangioma in rural areas. Case. A boy, 7 years old, weighing 25 kg, came to the general surgery department in Malinau General Hospital with a rough, red to purple lesion on the penis since birth. The parents complained that sometimes the patient's urine stream splits into two during urination. The patient was diagnosed with penile hemangioma and treated with propranolol 1 mg/kg/dose for 6 months and hidrosmin 2% ointment. Conclusion. Management of penile hemangioma depends on the size, location and severity of the hemangioma, as well as the patient’s overall health.
Fulminant fournier's gangrene in a 39-year-old male sailor with poorly controlled diabetes mellitus: A case report Wibawa, Putu Chandra; Wiradana, Anak Agung Anom; Putra, Agung Ngurah Rai Kusuma
JKKI : Jurnal Kedokteran dan Kesehatan Indonesia JKKI, Vol 17, No 1, (2026)
Publisher : Faculty of Medicine, Universitas Islam Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.20885/JKKI.Vol17.Iss1.art12

Abstract

Fournier’s gangrene is an uncommon yet potentially fatal form of necrotising fasciitis that involves the genital, perineal, and perianal regions, with mortality rates approaching 40%. We describe a case involving a 39-year-old male sailor who presented after 10 days of progressive scrotal swelling that had extended to the buttocks, along with purulent discharge, intense pain, and fever. The patient had a background of poorly managed diabetes mellitus and chronic alcohol use. On physical examination, necrotic changes were noted in the scrotal and perianal areas. Laboratory findings revealed elevated white cell count, hyperglycemia, hyponatremia, hypokalemia, and hypoalbuminemia. Culture results identified Proteus mirabilis and Klebsiella pneumoniae subspecies pneumoniae. Emergency surgical debridement and necrotomy were performed, followed by antibiotic therapy (ceftriaxone and metronidazole), fluid replacement, pain management, and insulin administration. This case underscores the critical need for early recognition and timely surgical treatment in managing Fournier’s gangrene, especially in patients with risk factors such as diabetes and alcohol use. Occupational demands that delay medical consultation may worsen disease severity and complicate therapeutic efforts.
Co-Authors Farrelin, Dellananda Christ Putra, Agung Ngurah Rai Kusuma Wiradana, Anak Agung Anom