Sahoo Manash Ranjan, Nayak Anil Kumar, Nayak Tapan Kumar, Anand S
Department of General Surgery, SCB Medical College, Cuttack, Odisha, India.
BMJ Case Rep. 2013 Jun 12;2013:bcr2013009442. doi: 10.1136/bcr-2013-009442.
A 36-year-old man presented to the emergency department with a history of trauma to genitalia during intercourse. The patient reported the forceful collision between his penis and the bed and audible clicking sound with swollen penis thereafter. On examination, the genitalia was swollen with an 'S' shaped deformity. The skin over the swelling was apparently normal, with no local rise of temperature. A provisional diagnosis was made after clinical evaluation. Scrotum and testes examination revealed no abnormality. A subcoronal circumferential incision with de-gloving of penile skin was used to access the tunica. A rent in tunica albuginea and corpora cavernosa identified and the defect repaired with absorbable suture material after removal of clot and properly maintaining haemostasis. The patient's postoperative recovery was uneventful. The following case report demonstrates a typical case of fracture penis.
一名36岁男性因性交时生殖器外伤史就诊于急诊科。患者自述阴茎与床剧烈碰撞，之后阴茎肿胀并伴有可闻及的咔嗒声。检查发现生殖器肿胀，呈“S”形畸形。肿胀部位皮肤外观正常，无局部温度升高。经临床评估后做出初步诊断。阴囊和睾丸检查未发现异常。采用冠状沟下环形切口并翻开阴茎皮肤来显露白膜。发现白膜和海绵体有一处撕裂，清除血凝块并妥善止血后，用可吸收缝合材料修复缺损。患者术后恢复顺利。以下病例报告展示了一例典型的阴茎骨折病例。
