[A non-abscess-forming inflammation of the corpora cavernosa in a diabetic patient - case report].
An inflammation of the corpus cavernosum is relatively rare and must be differentiated from a tumour, abscess, thrombosis or embolism of the penile vessels. Most frequently inflammation of the corpus cavernosum is caused by iatrogenic interventions, followed by general infections and acute occlusion of penile vessels. Diabetes mellitus seems to be a predisposing factor. In the case of a 51-year-old diabetic patient with painful induration of the penis, an MR imaging study was undertaken to identify an inflammation of the corpora by exclusion of abscess formation. The inflammation responded well to a two-week oral Fluorchinolon treatment. Due to its high soft-tissue contrast, multiplanar layer images and, the MR scan was performed to identify an inflammation of the corpora cavernosa and to exclude an abscess formation. We consider a therapy with oral antibiotics to be sufficient for a non-abscess-forming cavernitis.
Rud
O
O
Urologische Klinik, Klinikum St. Elisabeth Straubing. rud.oleg@googlemail.com
Mörsler
J
J
Peter
J
J
May
M
M
Gilfrich
C
C
D000038:Abscess / Q000175:diagnosis; D000900:Anti-Bacterial Agents / Q000627:therapeutic use; D000894:Anti-Inflammatory Agents, Non-Steroidal / Q000627:therapeutic use; D001446:Balanitis / Q000175:diagnosis* / Q000188:drug therapy; D002939:Ciprofloxacin / Q000627:therapeutic use; D003922:Diabetes Mellitus, Type 1 / Q000150:complications; D003937:Diagnosis, Differential; D004177:Dipyrone / Q000627:therapeutic use; D004359:Drug Therapy, Combination; D004487:Edema / Q000175:diagnosis; D006801:Humans; D008279:Magnetic Resonance Imaging; D008297:Male; D008875:Middle Aged; D014463:Ultrasonography
D000900:Anti-Bacterial Agents; D000894:Anti-Inflammatory Agents, Non-Steroidal; D002939:Ciprofloxacin; D004177:Dipyrone