Rupture de l’albuginée du corps caverneux

The fractures of the penis are rare in our context and are most often secondary to false penile fracture. A more common cause has been described in the countries of the Middle East where people interrupt the erection due to a violent bending of their penis called “Taqaandan”. We here report the case of a 21-year old patient with no particular previous history, presenting to the emergency department at the Medical Center Avicenna with pain and deformation of the penis following “Taqaandan” manoeuvre. After having heard a click the patient felt pain and had violent detumescence without associated urinary problems, thus excluding urethral involvement. The image shows the classic “eggplant” appearance (A). Ultrasound confirmed the diagnosis of rupture of the albuginea of the corpus cavernosum, and the patient underwent surgery. A selective contralateral approach was used in order to avoid unnecessary dissection. After the evacuation of the haematoma, the fracture line was shown (B) and then fixed with reverse suture. The patient was discharged the day after surgery and was put under analgesic and antihormonal treatment. The patient went for a check-up after 2, 4 and 6 months and showed recovery of normal erectile function without cranking or fibrous plate.