PMC10276763_01
Large scrotal hematoma spreading to the penis.
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The patient presented at the emergency department with a "butterfly pattern" of ecchymosis over the perineum and palpable hematoma focused on the fracture (Figure 1).
T1-weighted venous time axial pelvis MRI; (a) 8 mm fracture of the corpus cavernosum; (b) complete resolution at six weeks.
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With this atypical presentation of a probable proximal corpus cavernosum fracture, an MRI of the penile was performed the next day and revealed a focal tear of the posterolateral tunica albuginea of the right proximal corpus cavernosum (Figure 2). A second MRI was performed to monitor the lesion and revealed complete disappearance of the fracture line, hematoma, or contusion of the corpora cavernosa (Figures 2 and 3).
T2-weighted sagittal pelvis MRI; (a) large hematoma spreading in the scrotum; (b) complete resolution at six weeks.
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The tear measured 8 mm with a large hematoma spreading in the scrotum (Figure 3), without urethral injury. A second MRI was performed to monitor the lesion and revealed complete disappearance of the fracture line, hematoma, or contusion of the corpora cavernosa (Figures 2 and 3).
PMC10276763_02
T2-weighted sagittal pelvis MRI; (a) hematoma at the base of the scrotum, (b) complete resolution at one month.
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fig4
It revealed a focal longitudinal tear of the medial aspect of the left corpora adjacent to the penile bulb, a hematoma between the bulb and the left corpus cavernosum (Figures 4 and 5), with no urethral lesion. We performed a second MRI and found no tear with total regression of the hematoma (Figure 4).
T1-weighted venous time fontal pelvis MRI, focal tear of the medial aspect of the left corpora, adjacent to the penile bulb.
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fig5
It revealed a focal longitudinal tear of the medial aspect of the left corpora adjacent to the penile bulb, a hematoma between the bulb and the left corpus cavernosum (Figures 4 and 5), with no urethral lesion.