Case 123: Penile Fracture || Ultrasound

                    

Clinical Features:

A 31-year-old male patient came with penile trauma.

Ultrasound Features:

- Irregular mixed echogenic area is noted in the right corpora cavernosum near the root with adjacent tunica albuginea disruption & perialbugineal extension.  

- Color Doppler shows no vascularity within this mixed echogenic area.

- Cavernosal artery appears intact. 

- Overlying skin appears thickened, and edematous with fat-plane irregularity with increased skin vascularity indicating inflammatory changes.

Remember:

Penile Fracture Grading:

Grade 0: Intact tunica albuginea. Hematoma superficial or deep to Buck's fascia

Grade I: Defect in the tunica albuginea and/or corpora cavernosa

Grade II: Defect in the tunica albuginea and/or corpora cavernosum. Associated peri-albugineal and/or cavernosal hematoma

Grade III: Defect in the tunica albuginea, Buck fascia (with hematoma) and the corpus spongiosum

Grade IV: Involvement of corpus spongiosum with urethra and/or vascular injury, with any vascular malformation

Ultrasound Diagnosis:

Grade II penile fracture

Ultrasound Images:

Irregular mixed echogenic area is noted in right corpora cavernosum near the root with adjacent tunica albuginea disruption & perialbugineal extension.  

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