title: Partial segmental thrombosis of the corpus cavernosum (PSTCC) diagnosed by contrast-enhanced ultrasound: a case report.
abstract: BACKGROUND
  Partial segmental thrombosis of the corpus cavernosum (PSTCC) is a rare disease predominantly occurring in young men. Cardinal symptoms are pain and perineal swelling. Although several risk factors are described in the literature, the exact etiology of penile thrombosis remains unclear in most cases. MRI or ultrasound (US) is usually used for diagnosing this condition.
  
  
  METHODS
  We report a case of penile thrombosis after left-sided varicocele ligature in a young patient. The diagnosis was established using contrast-enhanced ultrasound (CEUS) and was confirmed by contrast-enhanced magnetic resonance imaging (ceMRI). Successful conservative treatment consisted of systemic anticoagulation using low molecular weight heparin and acetylsalicylic acid.
  
  
  CONCLUSIONS
  PSTCC is a rare condition in young men and appears with massive pain and perineal swelling. In case of suspected PSTCC utilization of CEUS may be of diagnostic benefit.
authors.forename: Stephanie
authors.initials: S
authors.lastname: Sauer
authors.forename: Jan P
authors.initials: JP
authors.lastname: Goltz
authors.forename: Tobias
authors.initials: T
authors.lastname: Gassenmaier
authors.forename: Andreas S
authors.initials: AS
authors.lastname: Kunz
authors.forename: Thorsten A
authors.initials: TA
authors.lastname: Bley
authors.forename: Detlef
authors.initials: D
authors.lastname: Klein
authors.affiliation: University Hospital Würzburg, Institute of Diagnostic and Interventional Radiology, Oberdürrbacher Str, 6, 97080 Würzburg, Germany. Petritsch_B@ukw.de.
authors.forename: Bernhard
authors.initials: B
authors.lastname: Petritsch
mesh_terms: D000328:Adult; D000925:Anticoagulants / Q000627:therapeutic use; D001241:Aspirin / Q000627:therapeutic use; D003287:Contrast Media; D004487:Edema / Q000209:etiology; D017984:Enoxaparin / Q000627:therapeutic use; D006801:Humans; D008297:Male; D010146:Pain / Q000209:etiology; D010409:Penile Diseases / Q000000981:diagnostic imaging* / Q000188:drug therapy; D010502:Perineum; D013927:Thrombosis / Q000000981:diagnostic imaging* / Q000188:drug therapy; D014463:Ultrasonography; D055815:Young Adult
chemical_list: D000925:Anticoagulants; D003287:Contrast Media; D017984:Enoxaparin; D001241:Aspirin