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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 …
Contribution HU, AK and RE looked after the patient, wrote the manuscript and approved its submission. The authors wish to thank Ms Ryoko Ono for editing the figures.
Conflicts of interests None.
Patient consent Obtained.
Provenance and peer review Not commissioned; externally peer reviewed.