ISSN 2756-3812
International Journal of Medical Advances and Discovery ISSN 2756-3812 Vol. 2 (10), pp. 001-004, October, 2011. © International Scholars Journals
Case Report
Clinical and ultrasonographic correlation of post-coital isolated penile injury with corpus cavernosal haematoma: A case report
1Erondu Okechukwu Felix, 2Ohuegbe Chyke Ihechikara, 1Okoro Chinedum Richards and 3Emmanuel Ehiwe
1Department of Clinical Imaging, Image Diagnostics, Port Harcourt Nigeria
2Ultrasound Unit, In Health, London United Kingdom
3Spire Harpenden Hospital Hertfordshire, United Kingdom
Accepted 21 June, 2011
Abstract
Penile fracture or male coital injury is a relatively uncommon condition. It is primarily the rupture of corpus cavernosum, with or without involvement of corpus spongiosum and the urethra. Using a case study approach, we present ultrasound findings of this rare and underreported urologic emergency suffered by a 32 year old male patient during copulation in a female dominant position. This is a case with the classical presentation of pain, detumescence, rapid penile swelling, right-sided deviation and isolated rupture of one corpus cavernosum with massive haematoma. The urethra and corpus spongiosum were spared. Ultrasound demonstrated the presence of isolated hematoma, integrity of the penile urethra as well as evidence of arterial compromise in this patient. Our study shows the importance of sonography as a readily available and non invasive modality in the management of this urologic emergency.
Keywords: Penile fracture, coital injury, hematoma, corpus cavernosa, tunica albuginea.