Boscolo-Berto Rafael, Iafrate Massimo, Casarrubea Giuseppe, Ficarra Vincenzo
Department of Oncological and Surgical Sciences, Urology Clinic, University of Padua, Italy.
J Magn Reson Imaging. 2009 Aug;30(2):407-10. doi: 10.1002/jmri.21857.
A 53-year-old male was admitted to our Emergency Department affected by a contemporary high-flow priapism and induration on the dorsal penile surface, in consequence of a prior transrectal prostate biopsy performed 2 weeks earlier on the basis of a suspicion of prostate cancer. We describe a penile Mondor's disease (penile superficial dorsal vein thrombosis) of uncertain pathogenesis involving the penile superficial vein, and employing a careful diagnostic pathway by using magnetic resonance angiography (MRA). In the literature many reports described pulsed- and color-Doppler ultrasonography classical findings about penile Mondor's disease. For the first time we report the pathognomonic features of penile Mondor's disease on MRA, which may be considered a useful and comprehensive tool to deepen the analysis only in the case of a complex clinical picture such as the one presented.
一名53岁男性因当代高流量阴茎异常勃起及阴茎背侧表面硬结而入住我院急诊科,该情况是2周前因怀疑前列腺癌进行经直肠前列腺活检后出现的。我们描述了一种病因不明的阴茎蒙多氏病(阴茎背浅静脉血栓形成),累及阴茎浅静脉,并通过磁共振血管造影(MRA)采用了仔细的诊断途径。文献中有许多报告描述了阴茎蒙多氏病的脉冲和彩色多普勒超声经典表现。我们首次报告了阴茎蒙多氏病在MRA上的特征性表现,在如本文所呈现的复杂临床情况中,MRA可被视为一种有用且全面的工具,有助于深入分析。