Fracture of the penis: an atypical presentationReport as inadecuate




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International Journal of Emergency Medicine

, 6:32

First Online: 13 August 2013Received: 21 May 2013Accepted: 30 July 2013

Abstract

BackgroundFracture of the penis is an uncommon injury presenting to the emergency department ED. Personal embarrassment and social scenarios associated with this condition may result in underreporting. Patients often delay seeking medical attention, and even when they do, as in our case report, they may withhold the condition for a significant time. ED physicians need to be aware of the social inhibitions and the need for early diagnosis and prompt treatment. A delay in treatment increases the risk of complications such as ischemia, necrosis and penile deformity.

Fracture of the penis is caused by rupture of the tunica albuginea of one or both corpora cavernosa by a blunt trauma to the erect penis. Diagnosis is usually clinical as evident by the characteristic history and clinical presentation. Diagnostic modalities aid in the management of the fracture and associated injuries if present. But promptness in the recognition and initiation of treatment can significantly reduce the chances of post-injury complications.

FindingsWe present a case of penile fracture in a young male who presented to the ED with abdominal pain, but careful history and physical examination revealed penile fracture. A delay in diagnosis could have led to complications.

ConclusionOur case report is an attempt to emphasize the need to suspect injury to the penis in a young adult who might present to the emergency department with an entirely different complaint and also to treat any penile trauma as an emergency. This report provides evidence of an uncommon and underreported clinical entity. A review of the pertinent literature is included.

KeywordsTunica albuginea Corpus cavernosa Penile shaft Penile fracture Injury to penis AbbreviationsEDEmergency department.

Electronic supplementary materialThe online version of this article doi:10.1186-1865-1380-6-32 contains supplementary material, which is available to authorized users.

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Author: Muhammad Waseem - Ruchi Upadhyay - Ramnath Kapoor - Samuel Agyare

Source: https://link.springer.com/article/10.1186/1865-1380-6-32







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