Abstract
A 16-year-old Caucasian male presented with acute perineal pain and retroscrotal swelling during the hours following an extensive bike-ride. His past medical history was unremarkable.
Highlights
In concordance with the clinical data the MRI confirms the diagnosis of idiopathic partial thrombosis of the right corpus cavernosum
Its etiology remains uncertain: associations have been suggested between IPT of the corpus cavernosum and malignant pathology, micro-trauma due to extensive bicycle riding, vigorous sexual intercourse, drug abuse and hematologic disease
Its etiology remains uncertain: associations have been suggested between IPT of the corpus cavernosum and malignant pathology (leukemia, lymphoma), micro-trauma due to extensive bicycle riding (as was the case here), vigorous sexual intercourse, drug abuse and hematologic disease (sickle cell disease, congenital spherocytosis)
Summary
CORPUS CAVERNOSUM — BOOMGAERT et al MRI of the pelvis (Fig. 1) shows on A (unenhanced axial T1-weighted series with fatsat) an asymmetric delineation of the corpora cavernosa at the base of the penis. Swollen aspect (8 cm × 2 cm) of the proximal part of the right cavernous body and compressive mass effect on the left corpus cavernosum. The lesion is iso-intense to slightly hyperintense compared to the muscle tissue, with more hyperintense regions near the midline.
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