Enhancement of the corpus spongiosum

Case contributed by Dr Amit Chacko

Presentation

The following patient decompressed a truck tyre with a knife. He was thrown three meters following a blast explosion.

Patient Data

Age: 45 years
Gender: Male
CT

Multi-phase pelvic CT

Normal enhancement of the corpus spongiosum

Case Discussion

The corpus spongiosum enchances almost immediately post contrast; however, the corpora cavernosa enhance gradually in a centrifugal fashion. This pattern of enhancement is due to the central location of the cavernosal artery 1​.

The following enhancement of the corpus spongiosum perplexed his treating team.

The patient was not able to urinate at the time. Examination revealed no bruising or trauma to the perineum or the genitalia. It was concluded that this was normal enhancement of the corpus spongiosum. 

That evening the patient was able to urinate with no macroscopic haematuria noted. He was kept under the trauma team for observation.

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Case information

rID: 49842
Case created: 6th Dec 2016
Last edited: 7th Dec 2016
Systems: Trauma, Urogenital
Inclusion in quiz mode: Included

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