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The “Wet Collar” Sign: A Case of Paraphimosis on CT

Paraphimosis is a urologic emergency that requires prompt diagnosis to avoid potential morbidity. Diagnosis is made clinically and imaging findings have not been described. We will present the case of an 84-year-old man with a history of metastatic prostate cancer and prior pelvic external beam radi...

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Detalles Bibliográficos
Autores principales: Davis, Jordan R, Baaklini, Gina T, Schwope, Ryan B
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Cureus 2022
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9123397/
https://www.ncbi.nlm.nih.gov/pubmed/35607539
http://dx.doi.org/10.7759/cureus.24345
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author Davis, Jordan R
Baaklini, Gina T
Schwope, Ryan B
author_facet Davis, Jordan R
Baaklini, Gina T
Schwope, Ryan B
author_sort Davis, Jordan R
collection PubMed
description Paraphimosis is a urologic emergency that requires prompt diagnosis to avoid potential morbidity. Diagnosis is made clinically and imaging findings have not been described. We will present the case of an 84-year-old man with a history of metastatic prostate cancer and prior pelvic external beam radiation therapy who presented to the emergency department with urinary retention. A urethral Foley catheter was placed for bladder decompression. He subsequently developed painful penile swelling and was found to have iatrogenic paraphimosis. Retrospective review of his contrast-enhanced CT of the abdomen and pelvis performed while in the emergency department before hospital admission revealed the relatively thickened, hypoattenuating prepuce located proximal to the corona of the glans penis, consistent with the clinical diagnosis. We will examine the imaging findings in this case and propose the novel “wet collar” sign to suggest the diagnosis of paraphimosis on CT.
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spelling pubmed-91233972022-05-22 The “Wet Collar” Sign: A Case of Paraphimosis on CT Davis, Jordan R Baaklini, Gina T Schwope, Ryan B Cureus Emergency Medicine Paraphimosis is a urologic emergency that requires prompt diagnosis to avoid potential morbidity. Diagnosis is made clinically and imaging findings have not been described. We will present the case of an 84-year-old man with a history of metastatic prostate cancer and prior pelvic external beam radiation therapy who presented to the emergency department with urinary retention. A urethral Foley catheter was placed for bladder decompression. He subsequently developed painful penile swelling and was found to have iatrogenic paraphimosis. Retrospective review of his contrast-enhanced CT of the abdomen and pelvis performed while in the emergency department before hospital admission revealed the relatively thickened, hypoattenuating prepuce located proximal to the corona of the glans penis, consistent with the clinical diagnosis. We will examine the imaging findings in this case and propose the novel “wet collar” sign to suggest the diagnosis of paraphimosis on CT. Cureus 2022-04-21 /pmc/articles/PMC9123397/ /pubmed/35607539 http://dx.doi.org/10.7759/cureus.24345 Text en Copyright © 2022, Davis et al. https://creativecommons.org/licenses/by/3.0/This is an open access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited.
spellingShingle Emergency Medicine
Davis, Jordan R
Baaklini, Gina T
Schwope, Ryan B
The “Wet Collar” Sign: A Case of Paraphimosis on CT
title The “Wet Collar” Sign: A Case of Paraphimosis on CT
title_full The “Wet Collar” Sign: A Case of Paraphimosis on CT
title_fullStr The “Wet Collar” Sign: A Case of Paraphimosis on CT
title_full_unstemmed The “Wet Collar” Sign: A Case of Paraphimosis on CT
title_short The “Wet Collar” Sign: A Case of Paraphimosis on CT
title_sort “wet collar” sign: a case of paraphimosis on ct
topic Emergency Medicine
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9123397/
https://www.ncbi.nlm.nih.gov/pubmed/35607539
http://dx.doi.org/10.7759/cureus.24345
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