DOI: https://doi.org/10.36347/sjmcr.2025.v13i10.068

Pages: 2478-2480

Penile fracture is an uncommon but well-recognized urological emergency characterized by rupture of the tunica albuginea of the corpora cavernosa following blunt trauma to the erect penis. We report the case of a 45-year-old man admitted four hours after sexual intercourse, presenting with an audible cracking sound, immediate pain, and sudden penile deformity. Clinical examination revealed diffuse ecchymosis, hemorrhagic swelling, and axial deviation. High-resolution ultrasound using a 7–12 MHz linear probe demonstrated a 23 mm ventrolateral rupture of the tunica albuginea of the left corpus cavernosum, associated with a heterogeneous para-cavernous hematoma. The contralateral corpus cavernosum, corpus spongiosum, and urethra were preserved. Color Doppler imaging showed no abnormal flow or arteriovenous fistula. Emergency surgical exploration allowed hematoma evacuation and tunical repair. Postoperative evolution was favorable, with resolution of edema, recovery of morning erections, and satisfactory erectile function. This case highlights the pivotal role of high-resolution ultrasound in diagnosing and localizing penile fractures, enabling prompt surgical repair that ensures optimal functional recovery and minimizes long-term complications.