EURORAD ESR

Case 11898

Penile cavernosal artery pseudoaneurysm

Author(s)
Bahar Popal, Sana Boudabbous, Max Scheffler

From the Department of Radiology (B.P., S.B., M.S.),
Geneva University Hospital,
Rue Gabrielle-Perret-Gentil 4,
1205 Geneva, Switzerland
 
Patient
male, 42 year(s)
 
 
  • Figure 1
    Transverse and longitudinal sonograms of penis
     

    Transverse sonogram of penis shows lesion in right corpus cavernosum, with a large hypoechoic locule (calipers). Tunica albuginea (black arrow) is intact. Note left corpora cavernosum (asterisk) and spongiosum with...

     
    Area of Interest: Genital / Reproductive system male; Trauma; Imaging Technique: Ultrasound; Procedure: Diagnostic procedure; Special Focus: Aneurysms;

    Longitudinal sonogram of right corpus cavernosum shows hypoechoic locule with irregular borders (calipers).

     
    Area of Interest: Genital / Reproductive system male; Trauma; Imaging Technique: Ultrasound; Procedure: Diagnostic procedure; Special Focus: Aneurysms;

    Transverse Doppler sonogram with spectral recording shows turbulent arterial flow inside the corpus cavernosum locule ("to and thro" pattern).

     
    Area of Interest: Genital / Reproductive system male; Trauma; Imaging Technique: Ultrasound-Colour Doppler; Procedure: Diagnostic procedure; Special Focus: Aneurysms;

    Oblique Doppler sonogram shows cavernous artery (deep artery of the penis) being the feeder artery of the circulating cavity.

     
    Area of Interest: Genital / Reproductive system male; Trauma; Imaging Technique: Ultrasound-Colour Doppler; Procedure: Diagnostic procedure; Special Focus: Aneurysms;
     
     
  • Figure 2
    Arterial pelvic angiogram of right internal pudendal artery
     

    Overview coronal arterial pelvic angiogram shows right internal pudendal artery (white arrow), right cavernous artery (deep artery of the penis, black arrow) and contrast filling of the right corpus cavernosum cavity...

     
    Area of Interest: Genital / Reproductive system male; Trauma; Imaging Technique: Catheter arteriography; Procedure: Embolisation; Special Focus: Aneurysms;

    Overview coronal arterial pelvic angiogram obtained shortly after Fig 2a shows irregular precocious contrast outflow from cavity into right corpus cavernosum venous lakes (arrow).

     
    Area of Interest: Genital / Reproductive system male; Trauma; Imaging Technique: Catheter arteriography; Procedure: Embolisation; Special Focus: Aneurysms;

    Zoom lateral angiogram shows internal pudendal artery (white arrow), cavernous artery (deep artery of the penis, black arrow) and contrast filled cavity of right corpus cavernosum (arrowhead).

     
    Area of Interest: Genital / Reproductive system male; Trauma; Imaging Technique: Catheter arteriography; Procedure: Embolisation; Special Focus: Aneurysms;

    Lateral angiogram after embolization shows no residual circulation within the cavity (arrow).

     
    Area of Interest: Genital / Reproductive system male; Trauma; Imaging Technique: Catheter arteriography; Procedure: Embolisation; Special Focus: Aneurysms;
     
     
Transverse sonogram of penis shows lesion in right corpus cavernosum, with a large hypoechoic locule (calipers). Tunica albuginea (black arrow) is intact. Note left corpora cavernosum (asterisk) and spongiosum with urethral catheter (white arrow).
 
Longitudinal sonogram of right corpus cavernosum shows hypoechoic locule with irregular borders (calipers).
 
Transverse Doppler sonogram with spectral recording shows turbulent arterial flow inside the corpus cavernosum locule ("to and thro" pattern).
 
Oblique Doppler sonogram shows cavernous artery (deep artery of the penis) being the feeder artery of the circulating cavity.
 
Overview coronal arterial pelvic angiogram shows right internal pudendal artery (white arrow), right cavernous artery (deep artery of the penis, black arrow) and contrast filling of the right corpus cavernosum cavity (arrowhead).
 
Overview coronal arterial pelvic angiogram obtained shortly after Fig 2a shows irregular precocious contrast outflow from cavity into right corpus cavernosum venous lakes (arrow).
 
Zoom lateral angiogram shows internal pudendal artery (white arrow), cavernous artery (deep artery of the penis, black arrow) and contrast filled cavity of right corpus cavernosum (arrowhead).
 
Lateral angiogram after embolization shows no residual circulation within the cavity (arrow).
 
 
 
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