2016, Number 3
<< Back Next >>
Rev Med Inst Mex Seguro Soc 2016; 54 (3)
Diphallia: a case report
Rossete-Cervantes HE, Villegas-Muñoz A
Language: Spanish
References: 14
Page: 401-403
PDF size: 211.60 Kb.
ABSTRACT
Background: The diphallia is a rare anatomic abnormality
that occurs in 1 of 5 million births. The etiology is unknown
and its appearance varies from a small accessory penis to
complete duplication and it is associated with other urogenital,
gastrointestinal, cardiac and musculoskeletal congenital
malformations. Several classifications have been designed
according to the anatomical characteristics and their study
is complemented by ultrasound and magnetic resonance
imaging. Treatment should be early and individualized
in order to achieve a satisfactory aesthetic and functional
result.
Clinical case: we report the incidental finding of diphallia
without other anatomical malformations associated in
an adult of 83 years old who was hospitalized and died of
severe head trauma.
Conclusion: the case presented is relevant for the infrequency
of this alteration, the absence of other anatomical
malformations associated and the age at which it was
detected.
REFERENCES
Palmer JS. Abnormalities of the external genitalia in boys. En: McDougal WS, Wein AJ, Kavoussi LR, Norvick AC, Partin AW, Peters CA, Ramchandani P, editors Campbell-Walsh Urology. 10th edition. Philadelphia: Saunders Elsevier; 2012. p. 3544.
Elder JS. Anomalies of the penis and urethra. En: Kliegman RM, Stanton BF, Schor NF, Geme JW, Behrman RE, editors. Nelson Textbook of Pediatrics. 19th edition, Philadelphia: Elsevier; 2011. p. 1857
Torres ME, Sánchez PJC. Aragon TA, Camacho TV, Colorado GA. Difalia. Presentación de un caso y revisión de la literatura. Rev Mex Urol. 2009;69(1):32-5.
Dodat H, Rosenberg D, James-Pangaud I. Familial association of penoscrotal transposition and diphallia (double penis) with patella aplasia. Arch Pediatr. 1995;2(3):241-4.
Pérez VB, Adame MJL, Castillo CG, Sánchez PJC. Difalia: informe de dos casos. Rev Mex Urol. 2006;66(3):139-42.
Gyftopoulos K, Wolffenbuttel KP, Nijman RJ. Clinical and embryologic aspects of penile duplication and associated anomalies. Urology. 2002;60(4):675-9.
Gavali JS, Deshpande AV, Sanghani HH, Hirugade ST, Talpallikar MC, Borwankar SS. Granullar diphallus with urethral stricture. Pediatr Surg Int. 2002;18(1):70-1.
Mirshemirani AR, Sadeghyan N, Mohajerzadeh L, Molayee H, Ghaffari P. Diphallus: report on six cases and review of the literature. Iran J Pediatr. 2010;20(3):353-7.
Acimi S. Complete diphallia. Scand J Urol Nephrol. 2008;42(4):389-91.
Maruyama K, Takahashi A, Kobayashi T, Hatakeyama S, Matsuo Y. Diphallia and the VATER association J Urol. 1999;162(6):2144.
Marti-Bonmati L, Menor F, Gomez J, Cortina H, García IF. Value of sonography in true complete diphallia. J Urol. 1989;142:356-7.
Ghafoori M, Varedi P, Hosseini SJ. MRI in the diagnosis of diphallia. Pediatr Radiol. 2007;37(12):1298-300.
Lapointe SP, Wei DC, Hricak H, Varghese SL, Kogan BA, Baskin LS. Magnetic resonance imaging in the evaluation of congenital anomalies of the external genitalia. Urology. 2001;58(3):452-6.
Bakheet MA, Refaci M. Penile duplication and two anal openings; report of a very rare case. Iran J Pediatr. 2012:22(1):133-6.