经对比增强超声诊断的海绵体部分节段性血栓形成：病例报告
Partial segmental thrombosis of the corpus cavernosum (PSTCC) diagnosed by contrast-enhanced ultrasound: a case report.
作者信息
Sauer Stephanie, Goltz Jan P, Gassenmaier Tobias, Kunz Andreas S, Bley Thorsten A, Klein Detlef, Petritsch Bernhard
机构信息
University Hospital Würzburg, Institute of Diagnostic and Interventional Radiology, Oberdürrbacher Str, 6, 97080 Würzburg, Germany.
出版信息
BMC Urol. 2014 Dec 17;14:100. doi: 10.1186/1471-2490-14-100.
BACKGROUND
Partial segmental thrombosis of the corpus cavernosum (PSTCC) is a rare disease predominantly occurring in young men. Cardinal symptoms are pain and perineal swelling. Although several risk factors are described in the literature, the exact etiology of penile thrombosis remains unclear in most cases. MRI or ultrasound (US) is usually used for diagnosing this condition.
CASE PRESENTATION
We report a case of penile thrombosis after left-sided varicocele ligature in a young patient. The diagnosis was established using contrast-enhanced ultrasound (CEUS) and was confirmed by contrast-enhanced magnetic resonance imaging (ceMRI). Successful conservative treatment consisted of systemic anticoagulation using low molecular weight heparin and acetylsalicylic acid.
CONCLUSION
PSTCC is a rare condition in young men and appears with massive pain and perineal swelling. In case of suspected PSTCC utilization of CEUS may be of diagnostic benefit.
背景
海绵体部分节段性血栓形成（PSTCC）是一种罕见疾病，主要发生于年轻男性。主要症状为疼痛和会阴部肿胀。尽管文献中描述了几种危险因素，但在大多数情况下，阴茎血栓形成的确切病因仍不清楚。MRI或超声（US）通常用于诊断这种疾病。
病例报告
我们报告一例年轻患者左侧精索静脉曲张结扎术后发生阴茎血栓形成的病例。通过对比增强超声（CEUS）确诊，并经对比增强磁共振成像（ceMRI）证实。成功的保守治疗包括使用低分子量肝素和乙酰水杨酸进行全身抗凝。
结论
PSTCC在年轻男性中是一种罕见疾病，表现为剧烈疼痛和会阴部肿胀。在怀疑PSTCC的情况下，使用CEUS可能具有诊断价值。
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