Massive urethrorrhagia due to a blunt perineum injury; a report of a case with bulbar pseudoaneurysm

Blunt perineum trauma rarely leads to massive urethrorrhagia due to the formation of a bulbar aneurysm. A 29-year-old man with unstable hemodynamic underwent a digital subtraction angiography (DSA), which revealed a pseudoaneurysm in the penile bulb supplied from both internal pudendal arteries fist...

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Bibliographic Details
Published in:Urology case reports 2021-09, Vol.38, p.101651, Article 101651
Main Authors: Khorami, Mohammad Hatef, Zandi, Zahra, Khorami, Farbod, Jafarpisheh, Mohammad Saleh
Format: Article
Language:English
Subjects:
Digital subtraction angiography
Embolization
False aneurysm
Trauma and Reconstruction
Urethra
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Summary:Blunt perineum trauma rarely leads to massive urethrorrhagia due to the formation of a bulbar aneurysm. A 29-year-old man with unstable hemodynamic underwent a digital subtraction angiography (DSA), which revealed a pseudoaneurysm in the penile bulb supplied from both internal pudendal arteries fistulized to the urethral duct bulb. A catheter was inserted into the distal part of pudendal arteries at the pseudoaneurysm's proximity, and an intermittent embolizing agent (Gel-foam) was injected. The pseudoaneurysm was filled with Gel-foam. Despite the superiority of conservative management, urethrorrhagia's life-threatening nature calls for angiographic intervention, successfully embolized using gel-foam with negligible complications.
ISSN:2214-4420
2214-4420
DOI:10.1016/j.eucr.2021.101651