Department of Diagnostic Imaging and Laboratory Medicine, Azienda USL-IRCCS di Reggio Emilia, Reggio Emilia, Italy.
J Radiol Case Rep. 2020 Dec 31;14(12):24-30. doi: 10.3941/jrcr.v14i12.3926. eCollection 2020 Dec.
Penile Mondor's disease is a rare and under-recognized benign genital condition consisting of an isolated thrombosis of the dorsal superficial vein of the penis. Symptoms do not show distinctive features and there are asymptomatic cases. The patients usually present with a cord-like induration at dorsum of the penis. Diagnosis is usually made based on history and physical examination. The role of imaging in Mondor's disease is to identify the intravascular thrombus. In case of diagnostic uncertainty, Grey scale and Doppler ultrasound can be useful to detect the extent of thrombosis demonstrating echogenic material within venous lumen, vessel incompressibility and absence of flow, as well as painful selective pressure. The use of Magnetic Resonance imaging is controversial and not used routinely. Usually treatment is conservative: sexual rest, local anesthetics, anti-inflammatories, antibiotics in case of infection and anticoagulants. Sclerosing lymphangitis and Peyronie's disease have been described as possible differential diagnosis.
阴茎芒多尔病是一种罕见且未被充分认识的良性生殖器疾病，其特征为阴茎背侧浅静脉孤立性血栓形成。该病症状无明显特征，也有无症状病例。患者通常表现为阴茎背部索状硬结。诊断通常基于病史和体格检查。影像学在芒多尔病中的作用是识别血管内血栓。在诊断不确定的情况下，灰阶和多普勒超声有助于检测血栓的范围，显示静脉腔内的回声物质、血管不可压缩性和无血流，以及疼痛性选择性压力。磁共振成像的应用存在争议，且不常规使用。通常治疗方法为保守治疗：性休息、局部麻醉剂、抗炎药、感染时用抗生素和抗凝剂。已描述硬化性淋巴管炎和佩罗尼病为可能的鉴别诊断。
