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Images in emergency medicine
Complete urethral transection
  1. Hayaki Uchino1,
  2. Akira Kuriyama2,
  3. Ryosuke Echigoya1
  1. 1 Department of Emergency Medicine, Kurashiki Central Hospital, Kurashiki, Okayama, Japan
  2. 2 Department 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

https://doi.org/10.1136/emermed-2013-203551

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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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    Footnotes

    • 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.