Localized gangrene of the scrotum and penis: A complication of heroin injection into the femoral vessels

W. J. Somers, F. C. Lowe

Research output: Contribution to journalArticle

35 Scopus citations

Abstract

Long-term intravenous heroin abusers have problems of vascular access. After the accessible sites are sclerosed, the neck, axillae and groins are then used frequently. We report on 3 heroin abusers who presented with localized gangrene of the genitalia after injection into the femoral vessels. We postulate that the pathophysiology of this entity is related to arterial embolization of particulate matter into the microcirculation of the genitalia, which causes arterial thrombosis leading to localized gangrene. Of the 3 patients 2 were treated with local excision, debridement and primary closure. A fourth addict who injected heroin directly into the scrotum and perineum, presented with Fournier's gangrene, a completely different, more lethal entity.

Original languageEnglish (US)
Pages (from-to)111-113
Number of pages3
JournalJournal of Urology
Volume136
Issue number1
DOIs
StatePublished - Jan 1 1986
Externally publishedYes

ASJC Scopus subject areas

  • Urology

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