Partial segmental thrombosis of the corpus cavernosum (PSTCC) diagnosed by contrast-enhanced ultrasound: a case report

Stephanie Sauer; Jan P Goltz; Tobias Gassenmaier; Andreas S Kunz; Thorsten A Bley; Detlef Klein; Bernhard Petritsch

doi:10.1186/1471-2490-14-100

Partial segmental thrombosis of the corpus cavernosum (PSTCC) diagnosed by contrast-enhanced ultrasound: a case report

Stephanie Sauer, Jan P Goltz, Tobias Gassenmaier, Andreas S Kunz, Thorsten A Bley, Detlef Klein, Bernhard Petritsch

Clinic of Radiology and Nuclear Medicine

University of Würzburg

Abstract

BACKGROUND: Partial segmental thrombosis of the corpus cavernosum (PSTCC) is a rare disease predominantly occurring in young men. Cardinal symptoms are pain and perineal swelling. Although several risk factors are described in the literature, the exact etiology of penile thrombosis remains unclear in most cases. MRI or ultrasound (US) is usually used for diagnosing this condition.

CASE PRESENTATION: We report a case of penile thrombosis after left-sided varicocele ligature in a young patient. The diagnosis was established using contrast-enhanced ultrasound (CEUS) and was confirmed by contrast-enhanced magnetic resonance imaging (ceMRI). Successful conservative treatment consisted of systemic anticoagulation using low molecular weight heparin and acetylsalicylic acid.

CONCLUSION: PSTCC is a rare condition in young men and appears with massive pain and perineal swelling. In case of suspected PSTCC utilization of CEUS may be of diagnostic benefit.

Original language	English
Journal	European Urology
Volume	14
Pages (from-to)	100
ISSN	0302-2838
DOIs	https://doi.org/10.1186/1471-2490-14-100
Publication status	Published - 2014

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title = "Partial segmental thrombosis of the corpus cavernosum (PSTCC) diagnosed by contrast-enhanced ultrasound: a case report",

abstract = "BACKGROUND: Partial segmental thrombosis of the corpus cavernosum (PSTCC) is a rare disease predominantly occurring in young men. Cardinal symptoms are pain and perineal swelling. Although several risk factors are described in the literature, the exact etiology of penile thrombosis remains unclear in most cases. MRI or ultrasound (US) is usually used for diagnosing this condition.CASE PRESENTATION: We report a case of penile thrombosis after left-sided varicocele ligature in a young patient. The diagnosis was established using contrast-enhanced ultrasound (CEUS) and was confirmed by contrast-enhanced magnetic resonance imaging (ceMRI). Successful conservative treatment consisted of systemic anticoagulation using low molecular weight heparin and acetylsalicylic acid.CONCLUSION: PSTCC is a rare condition in young men and appears with massive pain and perineal swelling. In case of suspected PSTCC utilization of CEUS may be of diagnostic benefit.",

author = "Stephanie Sauer and Goltz, {Jan P} and Tobias Gassenmaier and Kunz, {Andreas S} and Bley, {Thorsten A} and Detlef Klein and Bernhard Petritsch",

year = "2014",

doi = "10.1186/1471-2490-14-100",

language = "English",

volume = "14",

pages = "100",

journal = "European Urology",

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TY - JOUR

T1 - Partial segmental thrombosis of the corpus cavernosum (PSTCC) diagnosed by contrast-enhanced ultrasound

T2 - a case report

AU - Sauer, Stephanie

AU - Goltz, Jan P

AU - Gassenmaier, Tobias

AU - Kunz, Andreas S

AU - Bley, Thorsten A

AU - Klein, Detlef

AU - Petritsch, Bernhard

PY - 2014

Y1 - 2014

N2 - BACKGROUND: Partial segmental thrombosis of the corpus cavernosum (PSTCC) is a rare disease predominantly occurring in young men. Cardinal symptoms are pain and perineal swelling. Although several risk factors are described in the literature, the exact etiology of penile thrombosis remains unclear in most cases. MRI or ultrasound (US) is usually used for diagnosing this condition.CASE PRESENTATION: We report a case of penile thrombosis after left-sided varicocele ligature in a young patient. The diagnosis was established using contrast-enhanced ultrasound (CEUS) and was confirmed by contrast-enhanced magnetic resonance imaging (ceMRI). Successful conservative treatment consisted of systemic anticoagulation using low molecular weight heparin and acetylsalicylic acid.CONCLUSION: PSTCC is a rare condition in young men and appears with massive pain and perineal swelling. In case of suspected PSTCC utilization of CEUS may be of diagnostic benefit.

AB - BACKGROUND: Partial segmental thrombosis of the corpus cavernosum (PSTCC) is a rare disease predominantly occurring in young men. Cardinal symptoms are pain and perineal swelling. Although several risk factors are described in the literature, the exact etiology of penile thrombosis remains unclear in most cases. MRI or ultrasound (US) is usually used for diagnosing this condition.CASE PRESENTATION: We report a case of penile thrombosis after left-sided varicocele ligature in a young patient. The diagnosis was established using contrast-enhanced ultrasound (CEUS) and was confirmed by contrast-enhanced magnetic resonance imaging (ceMRI). Successful conservative treatment consisted of systemic anticoagulation using low molecular weight heparin and acetylsalicylic acid.CONCLUSION: PSTCC is a rare condition in young men and appears with massive pain and perineal swelling. In case of suspected PSTCC utilization of CEUS may be of diagnostic benefit.

U2 - 10.1186/1471-2490-14-100

DO - 10.1186/1471-2490-14-100

M3 - Journal articles

C2 - 25515840

SN - 0302-2838

VL - 14

SP - 100

JO - European Urology

JF - European Urology

ER -

Partial segmental thrombosis of the corpus cavernosum (PSTCC) diagnosed by contrast-enhanced ultrasound: a case report

Abstract

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