Dhenga Sonam, Pokhrel Milan, Prajapati Dibesh, Rauniyar Simran, Shrestha Nischal, Magar Sugam Ale
Maharajgunj Medical Campus, Institute of Medicine, Tribhuvan University, Kathmandu, Nepal.
Maharajgunj Medical Campus, Institute of Medicine, Tribhuvan University, Kathmandu, Nepal.
Int J Surg Case Rep. 2025 Aug;133:111682. doi: 10.1016/j.ijscr.2025.111682. Epub 2025 Jul 15.
Traumatic penile emergencies include penile fracture and false penile fractures. False penile fracture includes superficial dorsal penile vein injuries. Clinical features of both may be similar, resulting in a diagnostic dilemma. We present a case of a 35-year-old male with superficial dorsal penile vein rupture mimicking a true penile fracture.
A 35-year-old male presented with a gradual onset of penile swelling and ecchymosis after vigorous sexual intercourse. Ultrasonography (USG) revealed a rupture of the superficial dorsal penile vein. Surgical exploration, evacuation of the hematoma, and ligation of the injured vein were done.
Clinically, superficial dorsal vein rupture features may be similar to true penile fractures, with Common features such as swelling, pain during intercourse, and ecchymosis. However, the absence of snap, gradual detumescence, and post-traumatic new erection differentiates false penile fractures from true ones. USG and MRI aid in diagnosis, but definitive diagnosis and management are done through surgical exploration.
Penile fracture and false penile fracture are separate entities with similar clinical features. Early identification helps in proper management and preventing complications.
