dorsal vein of penis
Case reports in emergency medicineIn this pageCase Silent Report Garry J. Kennebrew, Benjamin Daggett, Reis B. Ritz, "Pain traumatic pain: a case of thrombophlebitis of tenderness after intervention", Case reports in emergency medicine, vol. 2018, Article ID 4205628, 2 pages, 2018. https://doi.org/10.1155/2018/4205628Traumatic Penis pain: a case of thromboflebitis of the Twenty Dorsal after the intervention Garry J. Kennebrew1Department of Emergency Medicine, Carl R. Darnall Army USA Medical Center, 36065 Santa Fe Avenue, Fort Abcadef, TX 76544 Mondor's disease refers to a superficial thrombophlebitis from anywhere. Diagnosis can be done clinically with the palpation of a cord-like mobile thickening in the dose of the penis without associated evidence of inflammation, infection or dermatologic changes. Doppler colored bed ultrasound can help diagnose penis thrombophlebitis by revealing an uncomprehensible surface vessel with surrounding normal flow. The following case presentation details the etiology, diagnosis and management of a particularly rare disease process.1. IntroductionThe trauma pain of the penis can result in several clinical conditions, including superficial thrombophlebitis. Mondor's disease was initially identified on the toracoabdominal wall; however, literature describes several other anatomical sites, including axill, chest and antecubital pit. This case details what appears to be a very rare result of penis trauma.2. Case presentationA 31-year-old man presented the Department of Emergency for two days of penis pain, swelling and redness, beginning after intercourse. He observed the swelling in the dose of his penis without priapism or disssury. The examination of the systems was negative for abdominal pain, scrotal pain or systemic symptoms. Its initial vital signs were a blood pressure of 143/87, heart rate 83, respiratory rate 20 and an oral temperature of 97.5 F. His physical examination was noticeable by a palpable and tender cable for penis ensum and pubis sympathy. A complete blood count (CBC), urine analysis and Doppler ultrasound of the penis (Figure and ) was obtained. A penis ultrasound revealed complete thrombosis of the dorsal vein. The CBC was within normal limits and the results of the urine were negative for red or white blood cells. The patient was treated with oral pain control, aspirin, and was discharged home with follow-up to Urology.3. DiscussionMondor's disease is named by Henri Mondor who first reported superficial thrombophlebitis in 1939 []. The incidence is very rare as there are a very limited number of publications on the disease of the penis purse. It is highly likely that it will not be reported due to its variedly benign presentation and subsequent resolution. Even with low plausible information, the incidence remains rare. A report analyzes the incidence in patients with a STD clinic. 18 out of 1296 patients, or approximately 1.4%, filed several complaints and demonstrated a consistent examination with Mondor's disease. Spontaneous resolution usually occurred in 1–4 weeks. The etiology of this disease is unknown and it is not evident that the Virchow triad of hypercoagulability, hemostasis and endothelial dysfunction contributes to the development of the thrombophlebitis of the penis []. Known causes include trauma, prolonged or vigorous relationships, infection, surgery, and neoplasm. Trauma and coitus are the most reported etiologies currently documented in literature. The presentation can also vary. Ages range between 18 and 70 and symptoms can be immediate or delayed up to 48 hours after inciting the incident []. It can be painful, although most literature reports a band without cord pain in the dorsal aspect of the penis, flying over the skin intact, mobile without evidence of infection or inflammation [, ]. Differential diagnoses that should be entertained include penis fracture, Peyronie disease and sclerotizing lymphangitis. However, ultrasound can be used to help diagnose and findings include a non-compressible surface vessel with surrounding normal flow. The maintenance of the treatment includes symptomatic or supportive care until the symptoms are resolved spontaneously. These measures include pelvic/phalic rest and NSAIDs [–]. A particular study of 30 patients by Özkan et al. details a treatment of cefuroxime 500 mg twice a day for a week, aspirin 300 mg a day, and topical heparinoid ointment twice a day for a month. In this study, 93% of patients had a normal physical examination within a month []. Most symptoms are solved spontaneously within 1–6 weeks and very few references recommend follow-up for hypercoagulable work or evaluation [].-Conflicts of interest The authors state that there is no conflict of interest in the publication of this article. ReferencesCopyrightCopyright © 2018 Garry J. Kennebrew Jr. et al. This is an open access article distributed under the article, which allows unrestricted use, distribution and reproduction in any medium, provided that the original work is duly cited. More related articles Share Related articles
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