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CASE REPORT
Partial segmental thrombosis of the corpus cavernosum presenting with perineal pain
  1. Michelle Christodoulidou1,
  2. Arie Parnham1,
  3. Navin Ramachandran2,
  4. Asif Muneer1
  1. 1Department of Andrology, University College London Hospitals NHS Foundation Trust, London, UK
  2. 2Department of Radiology, University College London Hospitals NHS Foundation Trust, London, UK
  1. Correspondence to Michelle Christodoulidou, m.christodoulidou{at}nhs.net

Summary

We describe the case of a man aged 43 years who presented with a 2-week history of a palpable lump in the right proximal penile shaft. This was preceded by a 6-month history of perineal pain, accompanied by erectile dysfunction. An urgent MRI scan of his penis identified a thrombus within the right crus and corpus of the penis. His thrombophilia screen was normal. The patient was started on oral anticoagulation and a phosphodiesterase inhibitor (PDE-5i) to prevent thrombus progression and maintain erectile function. At 5 months, the patients' symptoms had resolved and an MRI showed a reduction in the thrombus size. MRI is a useful imaging modality to diagnose a thrombus within the corpus cavernosum in patients presenting with a history of penile and perineal pain together with a palpable lump. The non-enhancement of the lesion helps to differentiate this from alternative rare lesions within the penis and perineum.

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Footnotes

  • Contributors MC wrote the article and AP, NR and AM participated in the editing of the article.

  • Competing interests None declared.

  • Patient consent Obtained.

  • Provenance and peer review Not commissioned; externally peer reviewed.