Partial tear of penile suspensory ligament on magnetic resonance imaging: A case report

Abstract

A 37-year-old man presented with pain and abnormal erectile angle following trauma during sexual intercourse. A diagnosis of partial tear of penile suspensory ligament (PSL) was made on magnetic resonance imaging (MRI). Conservative management of the tear was failed and the patient remained symptomatic. Persistent abnormal erectile angle and MRI findings necessitated surgical repair which resulted in a favorable outcome and patient satisfaction.

Keywords: MRI; Penile suspensory ligament; Penile trauma.

Fig. 1

A 37-year-old man who presented to the emergency room with acute penile trauma underwent MR examination. Axial (A,B,C) and coronal (a,b,c) T2 PROPELLER images are shown. Linear high T2WI signal abnormality (fluid signal) is seen in the central part of suspensory ligament fibers (arrow), peripheral fibers of PSL which appear low signal are intact. Findings are consistent with partial disruption of PSL.

Fig. 2

Follow-up MRI after one year shows linear increased in axial (A,B) and coronal (C,D) T2 PROPELLER images T2WI fluid signal in the central part of suspensory ligament fibers (arrow) without any sign of healing.