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Case Reports in Surgery
Volume 2012 (2012), Article ID 483431, 3 pages
http://dx.doi.org/10.1155/2012/483431
Case Report

Myiasis as a Rare Complication of Male Circumcision: A Case Report and Review of Literature

1Upazilla Health Complex, Bamna, Barguna 8700, Bangladesh
2Surgery Unit-III, Department of Surgery, Dhaka Medical College Hospital, Dhaka 1000, Bangladesh
3Surgery Unit-IV, Department of Surgery, Shaheed Suhrawardy Hospital, Dhaka 1207, Bangladesh

Received 12 June 2012; Accepted 27 August 2012

Academic Editors: T. Çolak, F.-M. Haecker, and J. M. Strzelczyk

Copyright © 2012 Muhammad Rajib Hossain et al. This is an open access article distributed under the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.

Abstract

Introduction. Circumcision is a common procedure carried out around the world. Due to religious reasons, it is routinely done in Bangladesh, by both traditional as well as medically trained circumcisers. Complications include excessive bleeding, loss of foreskin, infection, and injury to the glans penis. Myiasis complicating male circumcision appears to be very rare. Case Presentation. In 2010, a 10-year-old boy presented to the OPD of Dhaka Medical College Hospital with severe pain in his penile region following circumcision 7-days after. The procedure was carried out by a traditional circumciser using unsterilized instruments and dressing material. After examination, unhealthy granulation tissue was seen and maggots started coming out from the site of infestation, indicating presence of more maggots underneath the skin. An emergency operation was carried out to remove the maggots and reconstruction was carried out at the plastic surgery department. Conclusion. There is scarcity of literature regarding complications following circumcision in developing countries. Most dangerous complications are a result of procedure carried out by traditional circumcisers who are inadequately trained. Incidence of such complications can be prevented by establishing a link between the formal and informal sections of healthcare to improve the safety of the procedure.