Ruptured corpus cavernosum (penile fracture): MRI findings

Case contributed by Dr Chris O'Donnell

Presentation

Acute pain and swelling in the penis following vigorous sexual intercourse.

Patient Data

Age: 30 years
Gender: Male
MRI

MRI performed prior to surgical intervention

Penis is held in an abducted position on the anterior abdominal wall.  Small transverse defect in the mid right tunica (arrow) overlying the corpus cavernosum with an adjacent small haematoma (containing methaemoglobin given the T1 hyperintensity) and a larger haematoma (arrow) more proximally at the base.  This larger clot extrinsically compresses the corpus and is associated with minor intracavernosal T1 hyperintensity suggesting minor thrmbosis.

Case Discussion

MRI is very useful to define the location, extent and shape (ie transverse or longitudonal) of any tear in the tunica albuginea prior to surgical intervention as well as the location of haematoma that might need draining.  At surgery a small tear was confirmed and repaired on the right.

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Case information

rID: 39366
Case created: 1st Sep 2015
Last edited: 17th Jun 2017
System: Urogenital
Inclusion in quiz mode: Included

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