Fig. 9

Penile haematoma with pseudoaneurysm treated (same case in Fig. 8). Selective arteriography of the right cavernous artery was performed (a), showing the pseudoaneurysm with active bleeding (open arrow). Supra-selective embolisation was performed with a gelatin sponge (yellow arrows) (b). CEUS is performed immediately after the procedure (c), illustrating the haematoma (between arrowheads). There is now the absence of the previously documented pseudoaneurysm with a residual stump noted (arrow). The hyperechogenic material (yellow arrows) visible on the low MI B-mode image is the embolisation gelatin sponge material. The patient’s priapism resolved within 24 h post-embolisation. CEUS 2 weeks after the procedure (d) shows a decrease in the size of the haematoma (between arrowheads) with no pseudoaneurysm visible. One and a half months after embolisation (e), the appearance of the penis on ultrasound is normal. The patient reported a fully recovered erectile function 8 weeks post-embolisation