Ruptured Median Raphe Cyst Mimicking a Vascular Penile Mass on Ultrasound

Median raphe cysts are uncommon benign cysts thought to occur due to improper fusion of the genital tubercle and can occur anywhere along the median raphe, from the glans to the anus, most commonly occurring along the ventral penile shaft. Limited information is available in the literature about the...

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Main Authors: Amir Pakray, Andrew Surro, Donald Gibson, Ahmad Tahawi
Format: Article
Language:English
Published: Wiley 2022-01-01
Series:Case Reports in Radiology
Online Access:http://dx.doi.org/10.1155/2022/8899541
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author Amir Pakray
Andrew Surro
Donald Gibson
Ahmad Tahawi
author_facet Amir Pakray
Andrew Surro
Donald Gibson
Ahmad Tahawi
author_sort Amir Pakray
collection DOAJ
description Median raphe cysts are uncommon benign cysts thought to occur due to improper fusion of the genital tubercle and can occur anywhere along the median raphe, from the glans to the anus, most commonly occurring along the ventral penile shaft. Limited information is available in the literature about the common imaging features of median raphe cysts with available reports highlighting an avascular cystic lesion. Our case demonstrates a 10-year-old male patient presenting with a ventral penile mass that demonstrated interval growth in the absence of trauma without overlying skin changes. Doppler ultrasound examination demonstrated a solid vascular mass measuring up to 1.6 cm at the ventral aspect of the penis with arterial and venous waveforms. The patient underwent elective resection of the mass which revealed a 2.0 cm inflamed glandular subtype median raphe cyst. This report demonstrates an atypical imaging presentation of an inflamed median raphe cyst, particularly that of a heterogeneous solid mass with arterial and venous blood flow on ultrasound.
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institution Kabale University
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spelling doaj-art-6a40d0c5c0c3457fbaa43584274e6a512025-02-03T01:01:10ZengWileyCase Reports in Radiology2090-68702022-01-01202210.1155/2022/8899541Ruptured Median Raphe Cyst Mimicking a Vascular Penile Mass on UltrasoundAmir Pakray0Andrew Surro1Donald Gibson2Ahmad Tahawi3Department of Diagnostic RadiologyDepartment of Diagnostic RadiologyDepartment of Diagnostic RadiologyMichigan State University College of Osteopathic MedicineMedian raphe cysts are uncommon benign cysts thought to occur due to improper fusion of the genital tubercle and can occur anywhere along the median raphe, from the glans to the anus, most commonly occurring along the ventral penile shaft. Limited information is available in the literature about the common imaging features of median raphe cysts with available reports highlighting an avascular cystic lesion. Our case demonstrates a 10-year-old male patient presenting with a ventral penile mass that demonstrated interval growth in the absence of trauma without overlying skin changes. Doppler ultrasound examination demonstrated a solid vascular mass measuring up to 1.6 cm at the ventral aspect of the penis with arterial and venous waveforms. The patient underwent elective resection of the mass which revealed a 2.0 cm inflamed glandular subtype median raphe cyst. This report demonstrates an atypical imaging presentation of an inflamed median raphe cyst, particularly that of a heterogeneous solid mass with arterial and venous blood flow on ultrasound.http://dx.doi.org/10.1155/2022/8899541
spellingShingle Amir Pakray
Andrew Surro
Donald Gibson
Ahmad Tahawi
Ruptured Median Raphe Cyst Mimicking a Vascular Penile Mass on Ultrasound
Case Reports in Radiology
title Ruptured Median Raphe Cyst Mimicking a Vascular Penile Mass on Ultrasound
title_full Ruptured Median Raphe Cyst Mimicking a Vascular Penile Mass on Ultrasound
title_fullStr Ruptured Median Raphe Cyst Mimicking a Vascular Penile Mass on Ultrasound
title_full_unstemmed Ruptured Median Raphe Cyst Mimicking a Vascular Penile Mass on Ultrasound
title_short Ruptured Median Raphe Cyst Mimicking a Vascular Penile Mass on Ultrasound
title_sort ruptured median raphe cyst mimicking a vascular penile mass on ultrasound
url http://dx.doi.org/10.1155/2022/8899541
work_keys_str_mv AT amirpakray rupturedmedianraphecystmimickingavascularpenilemassonultrasound
AT andrewsurro rupturedmedianraphecystmimickingavascularpenilemassonultrasound
AT donaldgibson rupturedmedianraphecystmimickingavascularpenilemassonultrasound
AT ahmadtahawi rupturedmedianraphecystmimickingavascularpenilemassonultrasound