Ecchymosis on the penis, scrotum and pubis
Glauber Voltan, Fred Bernardes Filho
The Pan African Medical Journal. 2017;28:252. doi:10.11604/pamj.2017.28.252.14366

Create an account  | Log in
AFENET CONF 2018 AFENET CONF 2018
"Better health through knowledge sharing and information dissemination "

Images in medicine

Ecchymosis on the penis, scrotum and pubis

Cite this: The Pan African Medical Journal. 2017;28:252. doi:10.11604/pamj.2017.28.252.14366

Received: 10/11/2017 - Accepted: 19/11/2017 - Published: 22/11/2017

Key words: Penile diseases, male urogenital diseases, scrotum

© Glauber Voltan et al. The Pan African Medical Journal - ISSN 1937-8688. This is an Open Access article distributed under the terms of the Creative Commons Attribution License (http://creativecommons.org/licenses/by/2.0), which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.

Available online at: http://www.panafrican-med-journal.com/content/article/28/252/full

Corresponding author: Fred Bernardes Filho, Dermatology Division, Department of Medical Clinics, Ribeirão Preto Medical School, University of São Paulo, Ribeirão Preto, Brazil (f9filho@gmail.com)


Ecchymosis on the penis, scrotum and pubis

Glauber Voltan1, Fred Bernardes Filho2,&

 

1Independent Radiologist Consultant, Juína, Mato Grosso, Brazil, 2Dermatology Division, Department of Medical Clinics, Ribeirão Preto Medical School, University of São Paulo, Ribeirão Preto, Brazil

 

 

&Corresponding author
Fred Bernardes Filho, Dermatology Division, Department of Medical Clinics, Ribeirão Preto Medical School, University of São Paulo, Ribeirão Preto, Brazil

 

 

Image in medicine    Down

A 52-year-old male patient with a mechanical prosthetic valve, in use of the combination of aspirin and warfarin, presented to the emergency department after 12 hours of a blunt injury of erect penis during sexual intercourse. On physical examination there was swelling and subcutaneous hematoma extending over the proximal penile shaft, the scrotum and the pubis with a dorsal-left sided deviation of the penis. The scrotum was swollen and painful on physical examination and the testicles were palpable with difficulty due to the pain. The patient denied any voiding difficulties or haematuria and had neither blood at the meatus nor palpable bladder. On the basis of the history and physical examination, a diagnosis of penile fracture and urethral trauma was made. The patient was brought immediately to the operating room for retrograde urethrography and surgical exploration. Although highly underreported, penile fracture is uncommon urologic injury. These injuries attract a lot of psychological, physical, functional, and emotional distress on the patient. The diagnosis of penile fracture is largely clinical with a definite history of trauma, a "crack" sound and rapid detumescence of the erection. Depending on whether the Buck's fascia has been breached, the hematoma will track to the base of the shaft or spread to the perineum, scrotum (butterfly sign) and lower abdominal wall. If the fracture involves the urethra, blood will extravasate through the urethra. Urethral bleeding or hematuria or voiding symptoms suggest associated trauma to the urethra.

 

Figure 1: penile swelling and ecchymosis

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 


The Pan African Medical Journal articles are archived on Pubmed Central. Access PAMJ archives on PMC here

Volume 31 (September - December 2018)

Article tools

This article authors

On Pubmed
On Google Scholar

Navigate this article

Keywords

Penile diseases
Male urogenital diseases
Scrotum

Rate this article

Altmetric

PAMJ is a member of the Committee on Publication Ethics
Next abstract

PAMJ is published in collaboration with the African Field Epidemiology Network (AFENET)
Currently tracked by: DOAJ, AIM, Google Scholar, AJOL, EBSCO, Scopus, Embase, IC, HINARI, Global Health, PubMed Central, PubMed/Medline, Ulrichsweb, More to come . Member of COPE.

ISSN: 1937-8688. © 2018 - Pan African Medical Journal. All rights reserved