Lim Mei Chin, Srinivasan Sivasubramanian, Teh Hui Seong, Teh Chang Peng Colin
Department of Diagnostic Radiology, Khoo Teck Puat Hospital, 90 Yishun Central, Singapore 768828.
Singapore Med J. 2015 Jan;56(1):e4-6. doi: 10.11622/smedj.2015017.
Traumatic injury to the male external genitalia is frequently encountered, but acute traumatic dislocation of the penile structure is extremely rare, with only a few reports found in the literature. We herein report the case of a 21-year-old man who sustained blunt trauma to the pelvis following a motor vehicle accident, and had features suspicious of penile dislocation. With the use of computed tomography and bedside ultrasonography, a diagnosis of penile dislocation was made, which was subsequently confirmed intraoperatively. Immediate surgical intervention via gentle manipulation of the penile tissue back to its native position was performed in order to restore normal anatomy. The exact mechanism of penile dislocation is not known. However, circumferential laceration around the foreskin causing degloving injury of the penis is suggested in our patient.
男性外生殖器的创伤性损伤很常见，但阴茎结构的急性创伤性脱位极为罕见，文献中仅有少数报道。我们在此报告一例21岁男性，在机动车事故后骨盆遭受钝性创伤，具有阴茎脱位的可疑特征。通过计算机断层扫描和床边超声检查，诊断为阴茎脱位，随后在手术中得到证实。为恢复正常解剖结构，立即通过轻柔地将阴茎组织复位进行了手术干预。阴茎脱位的确切机制尚不清楚。然而，在我们的患者中提示包皮周围的环形撕裂导致阴茎脱套伤。
