ABSTRACT
We reported a case of a twenty-nine-year-old male who presented a penile fracture associated with urethral injury caused by a sexual intercourse. An ideal anamnesis and a special physical examination were determinant to correct diagnostics. Ultrasonography and uretrocistography must be performed for confirmation. The treatment is based on the presence of associated urethral injury. The surgical repair of cavernous body and urethra can produce good results, with a favorable prognosis and minimal rate of complications.
Subject(s)
Multiple Trauma , Penis/injuries , Urethra/injuries , Adult , Humans , Male , Multiple Trauma/diagnosis , Multiple Trauma/surgery , Penis/surgery , Rupture , Urethra/surgeryABSTRACT
We reported a case of a twenty-nine-year-old male who presented a penile fracture associated with urethral injury caused by a sexual intercourse. An ideal anamnesis and a special physical examination were determinant to correct diagnostics. Ultrasonography and uretrocistography must be performed for confirmation. The treatment is based on the presence of associated urethral injury. The surgical repair of cavernous body and urethra can produce good results, with a favorable prognosis and minimal rate of complications.
Subject(s)
Humans , Male , Adult , Penis/injuries , Urethra/injuries , Multiple Trauma/surgery , Multiple Trauma/diagnosis , Penis/surgery , Rupture , Urethra/surgeryABSTRACT
Diffuse necrotic-hemorrhagic lesions limited to the skin in secondary antiphospholipid antibody syndrome (APS) to systemic lupus erythematosus (SLE) are not frequent. We report the case of a white woman, 37 years of age, hospitalized in September 2007 with a history of psychosis of several years' duration, presenting with polyarthritis and erythematous, maculopapular, bullous skin lesions on the upper and lower limbs, rapidly followed by extensive necrosis and skin ulceration on all four limbs who was diagnosed with SLE and positive lupus anticoagulant. The investigators highlight the occurrence of skin necrosis of catastrophic characteristics, as a possible initial manifestation of secondary APS without systemic vascular involvement that evolved satisfactorily with a combination treatment of anticoagulation and immunomodulation.
