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)

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Summary

Introduction

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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