Soft Tissue Lumps - A Case of Thrombosis of the Deep Dorsal Vein of the Penis

Borsha Sarker, Radiology, BMI Woodlands Hospital


There are many case reports of thrombosis of the superficial dorsal vein of the penis, but thrombosis of the deep dorsal vein of the penis is much more unusual.

Case Report:

Ultrasound for soft tissue lumps is commonplace in every radiology department and a case such as this could cross any sonographers list. This case study will document a spontaneous presentation of venous thrombosis of the deep dorsal vein of the penis, presenting as a palpable lump via the General Practitioner and document pictorially the differentiating factors.


We report the clinical and ultrasound findings and discusses the functional and therapeutic issues related to the condition and its differentials of superficial dorsal penile vein thrombophlebitis (Mondors Disease). There are reported relationships with thrombophilia and trauma, but spontaneous thrombosis is rare.

While no therapy is required for superficial vein thrombosis, unless there are other risk factors for venous thromboembolism, complete or segmental penile thrombosis has been treated with fibrinolytics and anticoagulation.

The deep vein drains the glans, corpus spongiosum and distal two-thirds of the corpora cavernosa.

A relationship between deep vein thrombosis and deep penile thrombosis seems logical and anticoagulation, as for these disorders may be applicable to deep penile vein thrombosis. To date there have been few reports of spontaneous thrombosis of the deep dorsal penile vein and no treatment recommendations.

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