陰茎海綿体膿瘍の2例

Abstract

症例1(50歳男性).排尿時痛を主訴とした.前医では慢性前立腺炎と診断された.抗生剤静注で一時軽快するも, 陰茎に圧痛のある腫瘤, 発熱, 高度の炎症所見を認めた.骨盤CTで初診時は明らかな異常を認めなかったが, 2週間後には陰茎海綿体にリング状に造影されたlow density areaを認め, 診断に至った.陰茎海綿体切開排膿術を施行したが, 膿瘍の位置を正確に把握することが困難で, 術中エコーを使用して同定した.膿培養で嫌気性菌を認めた.術後経過は良好で, 再発は認められていないが, 術後1ヵ月時点で勃起不全状態であった.症例2(70歳男性).会陰部痛を主訴とし, 会陰部に痛みを伴う硬結を認めた.陰茎海綿体にリング状に造影されたlow density areaを認め, エコーを用いて陰茎海綿体切開排膿術を施行した.膿培養で偏性嫌気性グラム陰性桿菌を認めた.術後は経過良好で, 再発は認められていない

Case 1: A 50-year-old man was admitted to our hospital complaining of miction pain and fever up. Although there was remission by antibiotic treatment, symptoms recurred. Computed tomographic scan revealed swelling of scrotum and penis. Therefore, the patient was diagnosed with abscess of corpus cavernosum. The patient underwent debridement. Although symptoms remissed, he had erectile dysfunction. Case 2: A70-year-old man was admitted to our hospital complaining of perineal painful swelling. The patient was diagnosed with abscess of corpus cavernosum by computed tomographic scan. The patient underwent debridement, and symptoms remissed. If the patient is admitted to hospital complaining of miction pain and fever up, abscess of corpus cavernosum should be suspected.