A case of unprovoked segmental proximal partial thrombosis of the corpus cavernosum

Vi Nguyen; Darshan P Patel; Tung-Chin Hsieh; Juan Javier-Desloges

doi:10.1016/j.eucr.2023.102426

A case of unprovoked segmental proximal partial thrombosis of the corpus cavernosum

Urol Case Rep. 2023 May 10:48:102426. doi: 10.1016/j.eucr.2023.102426. eCollection 2023 May.

Authors

Vi Nguyen¹, Darshan P Patel¹, Tung-Chin Hsieh¹, Juan Javier-Desloges¹

Affiliation

¹ Department of Urology, University of California, San Diego, USA.

Abstract

Partial thrombosis of the corpus cavernosum is an extremely rare and likely underdiagnosed urologic condition. We discuss a case of a 25-year-old male who presented with severe perineal pain and was diagnosed with idiopathic proximal partial thrombosis of the corpus cavernosum via ultrasound and MRI. The patient experienced symptom resolution with evidence of disease regression on follow up MRI after treatment with direct oral anticoagulation. Further studies are needed to fully delineate the pathophysiology of this condition to facilitate development of standardized diagnostic and treatment algorithms.

Keywords: Corpus cavernosum; Direct oral anticoagulant; Idiopathic partial thrombosis.

Publication types

Case Reports