Rupture of Dorsal Vein Mimicking Penile Fracture: a Case Series Report and Literature Review

Penile fracture is a rare and traumatic emergency in andrology. Immediate surgical repair is widely accepted as the therapy of choice in penile fracture. But some situations mimic penile fracture such as superficial dorsal vein rupture. There are few cases reported in the literature. Aim: To present a case series of injuries of the penile dorsal vein that occurred during sexual intercourse. Methods: A 48-year-old and 45-year-old patients both received in emergency for suspected penile fracture after one hour of vigorous sexual intercourse, the clinical examination and ultrasound were performed and the penile fracture was suspected. Surgical management in an emergency was indicated. Results: Per-operative diagnosis was a dorsal vein injury. The surgical management which consisted of early exploration, evacuation of hematoma, and ligation of the bleeding vessel in this case was good with preserving erectile function after surgery, without abnormal curvature erection. Conclusions: Vascular injuries of the penis can mimic perfectly penile fractures. The medical history and clinical examination can lead to prompted exploration for suspected penile fracture. The ultrasound exploration can be limited for detection of penile vascular injury and final surgical exploration offers final diagnosis and repairment of the trauma. Clinical evolution is favorable, without painful nocturnal erections or deviation of the penis or hypoesthesia of the glans.

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False Penile Fracture: Case Series and Literature Review

Grand Journal of Urology ◽

10.5222/gju.2021.97269 ◽

2021 ◽

Author(s):

Deniz Noyan Özlü ◽

Kamil Gökhan Şeker ◽

Emre Sam ◽

Yusuf Arıkan ◽

Joshgun Hüseynov ◽

...

Keyword(s):

Intraoperative Complications ◽

Case Series ◽

Penile Curvature ◽

Penile Fracture ◽

Wound Site ◽

Dorsal Vein ◽

Sensory Disturbances ◽

Patient Series ◽

Vein Injury ◽

Urological Emergencies

Objective: Penile fracture is one of the urological emergencies that require early surgical intervention. False penile fracture, on the other hand, is a condition that presents with similar clinical features and can be treated conservatively. In this study, in the light of the literature, it was aimed to present the clinical and operative results of 8 patients who were operated on with a prediagnosis of penile fracture and then diagnosed with a false penile fracture.Material and Methods: Data of 8 patients who were diagnosed with a false penile fracture between January 2006 and September 2019 were retrospectively analyzed. Patients’ demographic characteristics, preoperative, intraoperative and postoperative data were retrospectively analyzed. Results: Mean age of the patients was 39.12 (28-54) years. The most common complaints were penile swelling and ecchymosis. The most common etiological factors were as follows: sexual intercourse in 6, masturbation in 1, and manual bending of the erect penis in 1 patient. All operations were performed by degloving the penis from the circumcision line. Superficial dorsal vein injury was detected in 6, and nonspecific dartos bleeding was detected in 2 patients. There were no intraoperative complications. Wound site infection developed in 1 patient postoperatively. No erectile dysfunction, penile curvature, and sensory disturbances were detected in any patient. Conclusion: It is difficult to distinguish a false penile fracture from true penile fracture clinically or radiologically. False penile fracture can be treated conservatively without the need for surgery. Surgery should still be the first-line treatment option in suspected patients. Studies with larger patient series are needed on this subject.

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Superficial Dorsal Vein Injury/Thrombosis Presenting as False Penile Fracture Requiring Dorsal Venous Ligation

Sexual Medicine ◽

10.1002/sm2.47 ◽

2014 ◽

Vol 2 (4) ◽

pp. 182-185 ◽

Cited By ~ 3

Author(s):

Arash Rafiei ◽

Tariq S. Hakky ◽

Daniel Martinez ◽

Justin Parker ◽

Rafael Carrion

Keyword(s):

Penile Fracture ◽

Dorsal Vein ◽

Vein Injury

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Failed Surgery for Patellar Tendinopathy in Athletes: Midterm Results of Further Surgical Management

Orthopaedic Journal of Sports Medicine ◽

10.1177/2325967121994550 ◽

2021 ◽

Vol 9 (3) ◽

pp. 232596712199455

Author(s):

Nicola Maffulli ◽

Francesco Oliva ◽

Gayle D. Maffulli ◽

Filippo Migliorini

Keyword(s):

Surgical Management ◽

Revision Surgery ◽

Case Series ◽

Sports Participation ◽

Patellar Tendinopathy ◽

Symptom Duration ◽

Level Of Evidence ◽

Training Time ◽

The Mean

Background: Tendon injuries are commonly seen in sports medicine practice. Many elite players involved in high-impact activities develop patellar tendinopathy (PT) symptoms. Of them, a small percentage will develop refractory PT and need to undergo surgery. In some of these patients, surgery does not resolve these symptoms. Purpose: To report the clinical results in a cohort of athletes who underwent further surgery after failure of primary surgery for PT. Study Design: Case series; Level of evidence, 4. Methods: A total of 22 athletes who had undergone revision surgery for failed surgical management of PT were enrolled in the present study. Symptom severity was assessed through the Victorian Institute of Sport Assessment Scale for Patellar Tendinopathy (VISA-P) upon admission and at the final follow-up. Time to return to training, time to return to competition, and complications were also recorded. Results: The mean age of the athletes was 25.4 years, and the mean symptom duration from the index intervention was 15.3 months. At a mean follow-up of 30.0 ± 4.9 months, the VISA-P score improved 27.8 points ( P < .0001). The patients returned to training within a mean of 9.2 months. Fifteen patients (68.2%) returned to competition within a mean of 11.6 months. Of these 15 patients, a further 2 had decreased their performance, and 2 more had abandoned sports participation by the final follow-up. The overall rate of complications was 18.2%. One patient (4.5%) had a further revision procedure. Conclusion: Revision surgery was feasible and effective in patients in whom PT symptoms persisted after previous surgery for PT, achieving a statistically significant and clinically relevant improvement of the VISA-P score as well as an acceptable rate of return to sport at a follow-up of 30 months.

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Sentinel bowel loop as a marker for primary segmental intestinal volvulus in extreme low birth weight neonates

Journal of Neonatal-Perinatal Medicine ◽

10.3233/npm-200654 ◽

2021 ◽

pp. 1-5

Author(s):

T. Zahouani ◽

W.R. Carter ◽

R.H. Jessel ◽

D.E. El-Metwally ◽

H.M. Crowley

Keyword(s):

Birth Weight ◽

Low Birth Weight ◽

Surgical Management ◽

Case Series ◽

Extremely Low Birth Weight ◽

Bowel Loop ◽

Clinical Markers ◽

Low Birth Weight Infants ◽

Intestinal Volvulus ◽

Delay In Diagnosis

Primary segmental intestinal volvulus is a rare condition that may affect neonates. This condition occurs when a loop of bowel torses around the axis of its mesentery without any other abnormality or malrotation. In the earlier stages, the diagnosis can be challenging due to the lack of specific clinical and radiographic signs. Prompt surgical management is critical as a delay in diagnosis may result in bowel loss or death. We present a series of three cases of extremely low birth weight infants with primary segmental volvulus. A sentinel bowel loop was critical in guiding each patient’s surgical management as there were no other clinical markers concerning a pending intra-abdominal catastrophe. This case series suggests that a sentinel bowel loop may be a radiographic marker for primary segmental intestinal volvulus in extremely low birth weight infants.

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Re: Medical and conservative surgical management of bacterial sternoclavicular joint septic arthritis: a case series

ANZ Journal of Surgery ◽

10.1111/ans.16372 ◽

2021 ◽

Vol 91 (1-2) ◽

pp. 215-215

Author(s):

Barkat Ali ◽

Venus Barlas ◽

Anil Shetty

Keyword(s):

Septic Arthritis ◽

Surgical Management ◽

Case Series ◽

Sternoclavicular Joint

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Surgical Management and Outcomes of Levamisole-induced Vasculitis in a Burn Center: A Case Series

JAAD Case Reports ◽

10.1016/j.jdcr.2021.04.028 ◽

2021 ◽

Author(s):

Mya Abousy ◽

Scott Sylvester ◽

David Milek ◽

C. Scott Hultman ◽

Julie Caffrey

Keyword(s):

Surgical Management ◽

Case Series ◽

Burn Center

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Usefulness of point-of-care ultrasound in military medical emergencies performed by young military medicine residents

Journal of the Royal Army Medical Corps ◽

10.1136/jramc-2018-001132 ◽

2019 ◽

pp. jramc-2018-001132

Author(s):

Pierre Perrier ◽

J Leyral ◽

O Thabouillot ◽

D Papeix ◽

G Comat ◽

...

Keyword(s):

Diagnostic Accuracy ◽

Clinical Examination ◽

Point Of Care ◽

Military Medicine ◽

Final Diagnosis ◽

Absolute Difference ◽

Point Of Care Ultrasound ◽

Medical Emergencies ◽

The Mean ◽

A Prospective Study

IntroductionTo evaluate the usefulness of point-of-care ultrasound (POCUS) performed by young military medicine residents after short training in the diagnosis of medical emergencies.MethodsA prospective study was performed in the emergency department of a French army teaching hospital. Two young military medicine residents received ultrasound training focused on gall bladder, kidneys and lower limb veins. After clinical examination, they assigned a ‘clinicaldiagnostic probability’ (CP) on a visual analogue scale from 0 (definitely not diagnosis) to 10 (definitive diagnosis). The same student performed ultrasound examination and assigned an ‘ultrasounddiagnostic probability’ (UP) in the same way. The absolute difference between CP and UP was calculated. This result corresponded to the Ultrasound Diagnostic Index (UDI), which was positive if UP was closer to the final diagnosis than CP (POCUS improved the diagnostic accuracy), and negative conversely (POCUS decreased the diagnostic accuracy).ResultsForty-eight patients were included and 48 ultrasound examinations were performed. The present pathologies were found in 14 patients (29%). The mean UDI value was +3 (0–5). UDI was positive in 35 exams (73%), zero in 12 exams (25%) and negative in only one exam (2%).ConclusionPOCUS performed after clinical examination increases the diagnostic accuracy of young military medicine residents.

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