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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.

DOI:10.1186/1471-2490-14-100
PMID:25515840
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC4289566/
Abstract

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.

摘要
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/7a5d/4289566/dca0fff481da/12894_2014_393_Fig1_HTML.jpg

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