[Partial thrombosis of the corpus cavernosum. Must a clotting disorder be systematically investigated?].
The authors report a case of partial thrombosis of a corpus cavernosum, confirmed by MRI imaging. In this patient, a neuroleptic had been prescribed several days before the thrombosis and the clotting assessment demonstrated protein C resistance. Conservative management comprising low molecular weight heparin and aspirin was instituted. Three months later, pain had resolved and signs of a thrombotic scar persisted on MRI. The aetiology of thrombosis of the corpus cavernosum, a rare disease, remains unknown. Neuroleptic therapy has been incriminated. In the light of this case, the authors emphasize the value of systematic clotting assessment.
Dubois
Frédéric
F
Service d'Urologie, CHU d'Angers, Angers, France. federic.dub@free.fr
Lesur
Guillaume
G
Azzouzi
Abdel Rahmène
AR
Beurrier
Philippe
P
Chautard
Denis
D
D020016:Activated Protein C Resistance / Q000150:complications*; D000328:Adult; D006801:Humans; D008279:Magnetic Resonance Imaging; D008297:Male; D010413:Penis / Q000098:blood supply*; D013927:Thrombosis / Q000175:diagnosis / Q000209:etiology*