Penile intracavernosal substance abuse.
A complete workup for a 36-year-old man with unexplained inguinal adenopathy and an indurated, enlarged penis and scrotum included urine cultures for bacteria, fungi, and acid-fast bacilli; scrotal ultrasound; computed tomography of the abdomen and groin; a retrograde urethrogram; a cystogram; duplex penile Doppler blood flow studies; and a surgical inguinal lymph node dissection. Pathologic examination of the excised lymph node revealed lipoid granulomatous lymphadenitis. After receiving definitive treatment for a psychotic condition, the patient acknowledged a 2-year history of intracavernosal injection of gelatinous vitamin E.
Steele
R H
RH
Department of Urology, Tulane University Medical Center, New Orleans, Louisiana.
Martin
A A
AA
Sikka
S C
SC
Hellstrom
W J
WJ
D000328:Adult; D006801:Humans; D007267:Injections; D008297:Male; D010409:Penile Diseases / Q000139:chemically induced*; D019966:Substance-Related Disorders / Q000150:complications*; D014810:Vitamin E / Q000008:administration & dosage
D014810:Vitamin E