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The impracticality of MRI for the diagnosis of atypical penile fracture in the emergency setting
  1. Matthew J Maurice1,
  2. J Patrick Spirnak1,2
  1. 1Urology Institute, University Hospitals Case Medical Center, Case Western Reserve University School of Medicine, Cleveland, Ohio, USA
  2. 2Department of Surgery, Division of Urology, MetroHealth Medical Center, Cleveland, Ohio, USA
  1. Correspondence to Dr J Patrick Spirnak, Division of Urology, MetroHealth Medical Center, 2500 MetroHealth Drive/H947, Cleveland, OH 44109, USA; pspirnak{at}


We report the case of a patient who presented to the emergency department with a history suspicious for penile fracture without typical physical exam findings. A small penile fracture was present on MRI, but the diagnosis was missed, and surgery was withheld owing to this misinformation. Despite its technical accuracy, MRI may be impractical for the diagnosis of penile fracture in the emergency setting.

  • uro-genital
  • Trauma
  • imaging, CT/MRI
  • management, emergency department management

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