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急诊科超声检查发现阴茎背静脉破裂

Penile Dorsal Vein Rupture Identified by Emergency Department Ultrasound.

作者信息

Scott Sean E, Langenohl Robert, Crisostomo-Wynne Theodore, Kang Christopher

机构信息

Madigan Army Medical Center, Department of Emergency Medicine, Tacoma, Washington.

出版信息

Clin Pract Cases Emerg Med. 2021 Feb;5(1):121-122. doi: 10.5811/cpcem.2020.10.49631.

DOI:10.5811/cpcem.2020.10.49631
PMID:33560969
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC7872602/
Abstract

CASE PRESENTATION

We present the case of a young male with high clinical suspicion of a penile fracture found to have dorsal vein rupture by emergency department point-of-care ultrasound. This false form of penile fracture was subsequently confirmed intraoperatively.

DISCUSSION

Penile fracture is a rare clinical entity that may be separated into true vs false penile fracture, with only true fracture requiring surgery. The images submitted here add to the sparse literature evidence that point-of-care ultrasound can be used to differentiate between these two clinical entities. Additionally, this case report highlights an opportunity for further research into and application of point-of-care ultrasound to the evaluation of suspected penile fractures.

摘要

病例报告

我们报告一例年轻男性病例，临床高度怀疑阴茎骨折，经急诊科即时超声检查发现背侧静脉破裂。这种假性阴茎骨折随后在手术中得到证实。

讨论

阴茎骨折是一种罕见的临床病症，可分为真性和假性阴茎骨折，只有真性骨折需要手术治疗。本文提交的图像补充了现有的少量文献证据，表明即时超声可用于区分这两种临床病症。此外，本病例报告凸显了进一步研究即时超声并将其应用于疑似阴茎骨折评估的机会。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/e58a/7872602/fa38d1b88cc0/cpcem-05-121-g003.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/e58a/7872602/1af1203743e2/cpcem-05-121-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/e58a/7872602/996cf143e1cb/cpcem-05-121-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/e58a/7872602/fa38d1b88cc0/cpcem-05-121-g003.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/e58a/7872602/1af1203743e2/cpcem-05-121-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/e58a/7872602/996cf143e1cb/cpcem-05-121-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/e58a/7872602/fa38d1b88cc0/cpcem-05-121-g003.jpg

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引用本文的文献

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World J Urol. 2023 Jul;41(7):1785-1791. doi: 10.1007/s00345-023-04456-2. Epub 2023 Jun 16.

本文引用的文献

1
Importance of time in management of fracture penis: A prospective study.阴茎骨折治疗中时间的重要性：一项前瞻性研究。
Urol Ann. 2019 Oct-Dec;11(4):405-409. doi: 10.4103/UA.UA_80_18.
2
The role of ultrasonography in the diagnosis and management of penile trauma.超声检查在阴茎创伤诊断与处理中的作用
J Ultrasound. 2016 Jan 22;19(3):161-6. doi: 10.1007/s40477-016-0195-4. eCollection 2016 Sep.
3
Point-of-care ultrasound used to exclude penile fracture.用于排除阴茎骨折的床旁超声检查。
Crit Ultrasound J. 2012 Jul 13;4(1):17. doi: 10.1186/2036-7902-4-17.
4
False penile fracture: report of 16 cases.假性阴茎骨折：16例报告
Int J Impot Res. 2007 Sep-Oct;19(5):471-3. doi: 10.1038/sj.ijir.3901574. Epub 2007 Jun 7.
5
Rupture of the superficial dorsal vein of the penis.阴茎背浅静脉破裂。
Int J Urol. 2005 Dec;12(12):1071-3. doi: 10.1111/j.1442-2042.2005.01212.x.