Partial penectomy for severe penile ulceration caused by cholesterol crystal embolization

Introduction Cholesterol crystal embolism is a rare microembolic disease caused by cholesterol crystals that can present with various symptoms after vascular surgery, catheterization, or anticoagulation therapy. We report case of penile ulceration embolism. Case presentation A 72‐year‐old man undergoing maintenance dialysis for end‐stage renal failure presented pain and black glans ulcer. Despite low‐density lipoprotein apheresis, he was referred to our hospital because lack improvement. Based on his medical history clinical presentation, including artificial replacement right toe amputation, suspected partial penectomy performed, thus confirming the diagnosis. Penile resolved discharged Day 10. Unfortunately, died small bowel perforation developed 2 months surgery. Conclusion ulcers may indicate severity progression typically require surgical intervention.