case_images: PMC10276763_01
case_images: Large scrotal hematoma spreading to the penis.
case_images: CRIU2023-5706109.001.jpg
case_images: PMC10276763_01_CRIU2023-5706109.001.jpg
case_images: fig1
case_images: 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).
case_images: T1-weighted venous time axial pelvis MRI; (a) 8 mm fracture of the corpus cavernosum; (b) complete resolution at six weeks.
case_images: CRIU2023-5706109.002.jpg
case_images: PMC10276763_01_CRIU2023-5706109.002.jpg
case_images: fig2
case_images: 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).
case_images: T2-weighted sagittal pelvis MRI; (a) large hematoma spreading in the scrotum; (b) complete resolution at six weeks.
case_images: CRIU2023-5706109.003.jpg
case_images: PMC10276763_01_CRIU2023-5706109.003.jpg
case_images: fig3
case_images: 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).
case_images: PMC10276763_02
case_images: T2-weighted sagittal pelvis MRI; (a) hematoma at the base of the scrotum, (b) complete resolution at one month.
case_images: CRIU2023-5706109.004.jpg
case_images: PMC10276763_02_CRIU2023-5706109.004.jpg
case_images: fig4
case_images: 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).
case_images: T1-weighted venous time fontal pelvis MRI, focal tear of the medial aspect of the left corpora, adjacent to the penile bulb.
case_images: CRIU2023-5706109.005.jpg
case_images: PMC10276763_02_CRIU2023-5706109.005.jpg
case_images: fig5
case_images: 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.