Synergism of clinical evaluation and penile sonographic imaging in diagnosis of penile fracture: a case report

Journal of Medical Case Reports

Jibril Oyekunle Bello¹ 

[1] Urology unit, Department of Surgery, University of Ilorin Teaching Hospital, Ilorin, Nigeria

关键词: Sonourethrography;    Penile Ultrasound;    Penile fracture;    Corpus Cavernosum;    Tunica Albuginea;   

Others  :  1195385
DOI  :  10.1186/1752-1947-6-321

 received in 2012-05-06, accepted in 2012-07-19,  发布年份 2012

【 摘 要 】

Introduction

Penile fracture is an uncommon urologic emergency, and is the traumatic rupture of the tunica albuginea covering the corpus cavernosa. This usually occurs following blunt trauma sustained during coitus, masturbation or self-manipulations to hide or suppress an erection. Clinical diagnosis can often be easily made with typical history and examination findings. However, the patient may present atypically and/or with a suspicion of associated urethral injury. The roles of various diagnostic investigations are being evaluated in these situations.

Case presentation

We report the case of a 31-year-old African man with penile fracture and suspected associated urethral injury that occurred after self-manipulations to hide an erection.

Conclusions

Penile ultrasound and sonourethrography provide useful additional diagnostic information to supplement clinical history and physical examination findings and can be performed easily, at low cost and with no delays to surgery.

【 授权许可】

   
2012 Bello; licensee BioMed Central Ltd.

【 图 表 】

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【 参考文献 】

• [1]Jack GS, Garraway I, Reznichek R, Rajfer J: Current treatment options for penile fractures. Rev Urol 2004, 6:114-120.
• [2]Eke N: Fracture of the penis. Br J Surg 2002, 89:555-565.
• [3]Agarwal MM, Singh SK, Sharma DK, Ranjan P, Kumar S, Chandramohan V, Gupta N, Acharya NC, Bhalla V, Mavuduru R, Mandal AK: Fracture of the penis: a radiological or clinical diagnosis? A case series and literature review. Can J Urol 2009, 16:4568-4575.
• [4]Mensah JE, Morton B, Kyei M: Early surgical repair of penile fractures. Ghana Med J 2010, 44:119-122.
• [5]Venyo A, Desai N: Traumatic rupture of corpus cavernosum (fracture of penis): diagnosis based upon ultrasonography - a case report. Webmed Central Urology 2010, 1:WMC001346.
• [6]Nomura JT, Sierzenski PR: Ultrasound diagnosis of penile fracture. J Emerg Med 2010, 38:362-365.
• [7]Mydlo JH, Hayyeri M, Macchia RJ: Urethrography and cavernosography imaging in a small series of penile fractures: a comparison with surgical findings. Urology 1998, 51:616-619.
• [8]Swain FR, Udeschi M, Armm MF, Gagliardi JA: Fracture of the penis: demonstration by MRI with surgical correlation. Radiol Case Rep 2007, 2:75.
• [9]Bhatt S, Kocakoc E, Rubens DJ, Seftel AD, Dogra VS: Sonographic evaluation of penile trauma. J Ultrasound Med 2005, 24:993-1000.
• [10]Berná-Mestre JD, Berná-Serna JD: Anterior urethral trauma: role of sonourethrography. Emerg Radiol 2009, 16:391-394.