EURORAD ESR

Case 1499

Penile fracture with urethral trauma

Author(s)
G. Chaudry, J. Wingate
 
Patient
male, 39 year(s)
 
 
  • Figure 1
    Ascending urethrogram
     

    Early image showing good filling of penile urethra. Contrast is starting to extravasate at the base.

     
    Area of Interest: unknown; Imaging Technique: Ascending urethrogram;

    Later image confirming complete rupture of the proximal penile urethra. Contrast is extravasating into the scrotum with no filling seen in the more proximal urethra.

     
    Area of Interest: unknown; Imaging Technique: Ascending urethrogram;
     
     
  • Figure 2
    MRI - penis and scrotum
     

    T1-weighted coronal image of the distal penis showing intact low signal tunica albuginea surrounding corpora cavernosa. Haematoma is seen in the scrotum.

     
    Area of Interest: unknown; Imaging Technique: MRI - penis and scrotum;

    T2-weighted coronal image of the distal penis showing improved tissue differentation between the low signal intensity of the tunica and high signal intensity of the corpora cavernosa.

     
    Area of Interest: unknown; Imaging Technique: MRI - penis and scrotum;

    T2-weighted coronal image of the proximal penis showing breach of the tunica around the inferior aspect of the corpora cavernosa with complete rupture of the corpus spongiosum and urethra. The haematoma is seen...

     
    Area of Interest: unknown; Imaging Technique: MRI - penis and scrotum;

    T2-weighted sagittal image showing disruption of the inferior aspect of the corpora cavernosa with a 3cm defect in the corpus spongiosum.

     
    Area of Interest: unknown; Imaging Technique: MRI - penis and scrotum;

    T2-weighted axial image showing rupture of the corpus spongiosum with haematoma in the scrotum.

     
    Area of Interest: unknown; Imaging Technique: MRI - penis and scrotum;
     
     
Early image showing good filling of penile urethra. Contrast is starting to extravasate at the base.
 
Later image confirming complete rupture of the proximal penile urethra. Contrast is extravasating into the scrotum with no filling seen in the more proximal urethra.
 
T1-weighted coronal image of the distal penis showing intact low signal tunica albuginea surrounding corpora cavernosa. Haematoma is seen in the scrotum.
 
T2-weighted coronal image of the distal penis showing improved tissue differentation between the low signal intensity of the tunica and high signal intensity of the corpora cavernosa.
 
T2-weighted coronal image of the proximal penis showing breach of the tunica around the inferior aspect of the corpora cavernosa with complete rupture of the corpus spongiosum and urethra. The haematoma is seen extending into the scrotum.
 
T2-weighted sagittal image showing disruption of the inferior aspect of the corpora cavernosa with a 3cm defect in the corpus spongiosum.
 
T2-weighted axial image showing rupture of the corpus spongiosum with haematoma in the scrotum.
 
 
 
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