case_images: PMC9898768_01
case_images: penile necrosis (arrow)
case_images: PAMJ-43-136-g001.jpg
case_images: PMC9898768_01_PAMJ-43-136-g001.jpg
case_images: F1
case_images: Patient information: a 52-year-old male presented to our hospital for the gradual development (for three weeks) of a very painful necrotic lesion involving the whole penis (Figure 1).
case_images: bedsore of the left heel with Charcot's neuro-osteoarthropathy (arrow)
case_images: PAMJ-43-136-g002.jpg
case_images: PMC9898768_01_PAMJ-43-136-g002.jpg
case_images: F2
case_images: Clinical finding: the general examination revealed a febrile (temperature: 38.5 C), asthenic, anxious patient with necrotic bedsore on the left heel (Figure 2).
case_images: A) postoperative total penectomy; B) macroscopic aspect of the surgical specimen after formalin fixation
case_images: PAMJ-43-136-g003.jpg
case_images: PMC9898768_01_PAMJ-43-136-g003.jpg
case_images: F3
case_images: Intraoperatively, the total penile shaft was found to be completely necrotic, with greater than 75% of the penile corpora filled with pus, for which a total penectomy and excision of the left heel necrotic bedsore were performed (Figure 3).
case_images: histological aspect of the excised part: A) micrograph (Gx20 - HE staining) showing the penile parenchyma totally remodeled by suppurative necrosis sites; B): micrograph (Gx20 - HE staining) showing extensive calcic deposits within totally ischemic and phantom areas
case_images: PAMJ-43-136-g004.jpg
case_images: PMC9898768_01_PAMJ-43-136-g004.jpg
case_images: F4
case_images: The histopathological examination revealed numerous foci of microcalcifications as well as extensive ischemic and necrotic remodeling on the entire penile parenchyma consistent with calciphylaxis (Figure 4).