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Complete urethral transection
  1. Hayaki Uchino1,
  2. Akira Kuriyama2,
  3. Ryosuke Echigoya1
  1. 1Department of Emergency Medicine, Kurashiki Central Hospital, Kurashiki, Okayama, Japan
  2. 2Department of General Medicine, Kurashiki Central Hospital, Kurashiki, Okayama, Japan
  1. Correspondence to Dr Akira Kuriyama, Department of General Medicine, Kurashiki Central Hospital, 1-1-1 Miwa, Kurashiki, Okayama 710-8602, Japan; nrk40448{at}nifty.com

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A 62-year-old carpenter presented to the emergency department with perineal pain, after falling from a height of 5 m and hitting his buttocks against the ground. Physical examination revealed ecchymosis around the perineum and scrotum (figure 1), and gross blood at the urethral meatus. Contrast-enhanced CT showed gluteal haematoma and a linearly enhancing lesion in …

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