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Case Reports
. 2021 Feb 5:36:101593.
doi: 10.1016/j.eucr.2021.101593. eCollection 2021 May.

Partial segmental thrombosis of the corpus cavernosum associated with recreational use of sildenafil

Gina Baaklini  1 , Amy Reed  1 , Dawood Tafti  1 , Ashley Henry  1 , Danielle Stackhouse  1
Affiliations
Case Reports

Partial segmental thrombosis of the corpus cavernosum associated with recreational use of sildenafil

Gina Baaklini et al. Urol Case Rep. .

Abstract

Partial segmental thrombosis of the corpus cavernosum (PSTCC) is a rare disease involving thrombosis at the proximal corpus cavernosum. We describe the case of a 39-year-old African American man presenting with right groin pain who was diagnosed with PSTCC. Classic sonographic, computed tomography (CT), and magnetic resonance imaging (MRI) features were present. After conservative treatment with systemic anticoagulation, he had no long-term adverse effects or erectile dysfunction. Although various risk factors for PSTCC have been reported, this is the first documented case associated with recreational use of a phosphodiesterase inhibitor.

Keywords: PSTCC; Partial priapism; Partial segmental thrombosis of the corpus cavernosum.

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Conflict of interest statement

Disclaimer: The view(s) expressed herein are those of the author(s) and do not reflect the official policy or position of Brooke Army Medical Center, the U.S. Army Medical Department, the U.S. Army Office of the Surgeon General, the Department of the Army, the Department of the Air Force, or the Department of Defense or the U.S. Government."

Figures

Fig. 1
Fig. 1
Axial contrast enhanced CT images through the proximal corpora cavernosum. a The right corpus cavernosum demonstrates marked enlargement (black arrowhead). Fascial enhancement is also appreciated (white arrowhead). b Curvilinear enhancement is noted on more caudal slices likely corresponding to focal enhancement of the right corpus cavernosum and ventral tunica albuginea (arrow).
Fig. 2
Fig. 2
Two ventral and cross sectional still sonographic images from the patient's penile sonographic exam. a Color doppler image shows decreased blood flow of an enlarged right corpus cavernosum. b The right corpus cavernosum is demonstrated to a better extent and demonstrates marked enlargement (arrow). (For interpretation of the references to color in this figure legend, the reader is referred to the Web version of this article.)
Fig. 3
Fig. 3
T2 MRI sequences through the level of the corpora cavernosa. a Axial T2/STIR image demonstrated T2 hypointense signal within the proximal corpus cavernosum (arrow). A milder degree of T2 low signal is also appreciated within the proximal left corpus cavernosum (arrowhead). b An axial T2 sequence demonstrates T2 low signal within the right corpus cavernosum (arrowhead). No color is needed for Fig. 1 or Fig. 3. Color is needed for Fig. 2.
See this image and copyright information in PMC

References

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