Massive urethrorrhagia due to a blunt perineum injury; a report of a case with bulbar pseudoaneurysm

• Main Authors: Mohammad Hatef Khorami, Zahra Zandi, Farbod Khorami, Mohammad Saleh Jafarpisheh
• Format: Article
• Language: English
• Published: Elsevier 2021-09-01
• Series: Urology Case Reports
• Subjects: Urethra; False aneurysm; Digital subtraction angiography; Embolization
• Online Access: http://www.sciencedirect.com/science/article/pii/S2214442021000917

Blunt perineum trauma rarely leads to massive urethrorrhagia due to the formation of a bulbar aneurysm. A 29-year-old man with unstable hemodynamic underwent a digital subtraction angiography (DSA), which revealed a pseudoaneurysm in the penile bulb supplied from both internal pudendal arteries fistulized to the urethral duct bulb. A catheter was inserted into the distal part of pudendal arteries at the pseudoaneurysm's proximity, and an intermittent embolizing agent (Gel-foam) was injected. The pseudoaneurysm was filled with Gel-foam. Despite the superiority of conservative management, urethrorrhagia's life-threatening nature calls for angiographic intervention, successfully embolized using gel-foam with negligible complications.