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Penile strangulation is an uncommon condition that mandates emergent management to remove the constricting device and restoring penile blood flow. Different kinds of metallic and non-metallic objects were placed over the penis due to various reasons but mostly due to autoerotic intentions. We present a case of a middle-aged male who presented to the emergency with penile strangulation by a hard plastic bottle, which was successfully removed using a bone-cutter. The patient had an uneventful recovery without any immediate complications. Treatment aims at decompressing the penis to restore blood flow and maintain urethral continuity. Early removal of the constricting object with minimal discomfort to the patient prevents long term complications such as urethral stricture and priapism.

Melioidosis is a severe systemic disease caused by the bacterium Burkholderia pseudomallei, commonly found in soil, ground water, and ponds of endemic regions. It is transmitted to humans via percutaneous inoculation while working in these areas without protective clothing and footwear giving rise to the disease which has a high case fatality rate. It has a wide range of clinical manifestations, varying from asymptomatic infection to localized abscess formation to fulminating disease with multiple organ involvement and even death. Currently, there are no known pathognomonic features or specific criteria which can lead to a confident diagnosis of melioidosis. The gold standard diagnostic test is culture sensitivity of blood, pus, or bodily fluids, which itself has a low sensitivity. Imaging findings are not specific and can mimic other bacterial infection. However, awareness of these radiographic manifestations in multiple organs can raise the possibility of diagnosis and lead to more early proper treatment and thereby lower the high mortality associated with this disease. We here present a rare case of systemic melioidosis with ruptured splenic abscess managed laboriously with antibiotics and splenectomy and wish to review the literature.

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Cutaneous horns are uncommon lesions that occur as conical projections in various sunexposed parts of the body. They are made of hyperkeratotic material and look similar to animal horns. These lesions lack a central bony core that differentiates them from the animal horns. They are frequently associated with various benign, premalignant, and malignant lesions, and therefore carry a clinical significance. We present a case of a 58-year-old gentleman who presented with a conical projection over the center of the forehead, which was clinically diagnosed as a cutaneous horn. Excision of the horn along with the base was done, and the histopathology revealed benign seborrheic keratosis as the underlying lesion. The excision of small lesions along with their bases or biopsy of the base of large lesions is of paramount importance in the management of cutaneous horns.