Case report

Critical Ultrasound Journal

, 4:17

First online:

Open Access This content is freely available online to anyone, anywhere at any time.

Point-of-care ultrasound used to exclude penile fracture

  • Adam AshAffiliated withDepartment of Emergency Medicine, William Beaumont Army Medical Center Email author 
  • , Joel MillerAffiliated withDepartment of Emergency Medicine, Darnall Army Medical Center
  • , David PrestonAffiliated withDivision of Urology, University of Kentucky


This is a case report of a superficial penile hematoma that was difficult to distinguish clinically from a penile fracture. Such cases occur with relative frequency, and because definitive treatment is an urgent surgery, timely diagnosis is essential to avoid complications. Typical imaging modalities such as cavernosonography and magnetic resonance imaging can be invasive (cavernosonography) or time consuming (magnetic resonance imaging) and may not be readily available. Ultrasound has been used successfully in such cases, and, in this case, we used point-of-care ultrasound combined with a brief period of observation to exclude penile fracture.


Penile hematoma Cavernosonography Magnetic resonance imaging Ultrasound