TITLE:
Delayed Penile Hematoma Four Weeks Post-Circumcision in an 8-Year-Old Boy: A Rare Complication
AUTHORS:
Sebastian Tobia Gonzalez, Stephen Almond
KEYWORDS:
Penile Hematoma, Circumcision Complications, Pediatric Urology, Delayed Presentation, Post-Operative Complications
JOURNAL NAME:
Open Journal of Pediatrics,
Vol.15 No.6,
November
27,
2025
ABSTRACT: Delayed penile hematoma after circumcision is exceedingly rare, particularly weeks after surgery and without significant trauma; we report such a case in an 8-year-old boy. He developed acute penile swelling and severe pain four weeks after an uncomplicated circumcision, following minor groin contact while swimming. Examination revealed a large dorsal penile hematoma with normal coagulation studies. Surgical evacuation exposed reopening of the circumcision line with active bleeding, and hemostasis was achieved. Recovery was uneventful. Most penile hematomas occur within 48 hours postoperatively and are trauma related; late presentations are scarcely documented. This case suggests that recently healed penile tissue may remain vulnerable to bleeding with minimal stress, underscoring the need for extended postoperative vigilance.