Sclerosing lipogranulomatosis: a case report of scrotal injection of automobile transmission fluid and literature review of subcutaneous injection of oils.
ABSTRACT For nearly a century, physicians and laypersons have attempted to repair, reconstruct, and embellish the human body in numerous ways by injecting various oils beneath the skin. Soon after Gersuny's first reported subcutaneous injection of oil, the local and systemic complications became apparent. Despite this, the practice of oil injections continues. "Medical grade" silicone injection was investigated in the 1960s to 1980s with varied success and complications. While few physicians practice oil injection therapy, some laypersons continue to subject themselves or their clients to the risk of the disfiguring complications of sclerosing lipogranulomata. Accidental high-pressure injection injury of liquids, so-called grease gun injuries, continues to provide a therapeutic challenge for the hand surgeon. Our case of a man who injected automobile transmission fluid into his scrotum illustrates the classical course and proper management of sclerosing lipogranulomata. A subcutaneous inflammatory and fibrosing reaction occurred with regional lymphadenopathy. The need for complete excision of all involved tissue to treat the condition successfully is illustrated. This case also illustrates the tendency of patients to conceal from their doctors the history of self-injection of foreign bodies. In cases of self-injection, psychological counseling might certainly be appropriate.
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Article: Penile paraffinoma.[show abstract] [hide abstract]
ABSTRACT: Penile paraffinoma is an uncommon entity produced by penile paraffin injections for the purpose of penile enlargement by a nonmedical person. Although it is not a current method of penile enlargement procedures, in our opinion dermatologists and urology specialist should be have knowledge of this entity about diagnosis and management. It will be an aim to share our experiences and views in this paper.Case reports in urology. 01/2012; 2012:202840.
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ABSTRACT: Two polar phosphinoferrocene ligands, 1′-(diphenylphosphino)ferrocene-1-carboxamide (1) and 1′-(diphenylphosphino)ferrocene-1-carbohydrazide (2), were synthesized in good yields from 1′-(diphenylphosphino)ferrocene-1-carboxylic acid (Hdpf) via the reactive benzotriazole derivative, 1-[1′-(diphenylphosphino)ferrocene-1-carbonyl]-1H-1,2,3-benzotriazole (3). Alternatively, the hydrazide was prepared by the conventional reaction of methyl 1′-(diphenylphosphino)ferrocene-1-carboxylate with hydrazine hydrate, and was further converted via standard condensation reactions to three phosphinoferrocene heterocycles, viz 2-[1′-(diphenylphosphino)ferrocen-1-yl]-1,3,4-oxadiazole (4), 1-[1′-(diphenylphosphino)ferrocen-1-carbonyl]-3,5-dimethyl-1,2-pyrazole (5), and 1-[1′-(diphenylphosphino)ferrocene-1-carboxamido]-3,5-dimethylpyrrole (6). Compounds 1 and 2 react with [PdCl2(cod)] (cod = η2:η2-cycloocta-1,5-diene) to afford the respective bis-phosphine complexes trans-[PdCl2(L-κP)2] (7, L = 1; 8, L = 2). The dimeric precursor [(LNC)PdCl]2 (LNC = 2-[(dimethylamino-κN)methyl]phenyl-κC1) is cleaved with 1 to give the neutral phosphine complex [(LNC)PdCl(1-κP)] (9), which is readily transformed into a ionic bis-chelate complex [(LNC)PdCl(1-κ2O,P)][SbF6] (10) upon removal of the chloride ligand with Ag[SbF6]. Pyrazole 5 behaves similarly affording the related complexes [(LNC)PdCl(5-κP)] (12) and [(LNC)PdCl(5-κ2O,P)][SbF6] (13), in which the ferrocene ligand coordinates as a simple phosphine and an O,P-chelate respectively, while oxadiazole 4 affords the phosphine complex [(LNC)PdCl(4-κP)] (11) and a P,N-chelate [(LNC)PdCl(4-κ2N3,P)][SbF6] (14) under similar conditions. All compounds were characterized by elemental analysis and spectroscopic methods (multinuclear NMR, IR and MS). The solid-state structures of 1⋅½AcOEt, 2, 7⋅3CH3CN, 8⋅2CHCl3, 9⋅½CH2Cl2⋅0.375C6H14, 10, and 14 were determined by single-crystal X-ray crystallography.Journal of Organometallic Chemistry - J ORGANOMET CHEM. 01/2011; 696(23):3727-3740.
- British Journal of Medical and Surgical Urology 07/2011; 4(4-4):174-176.