Multiple choice

After fracture of the penis (injury to the tunica albugenia) with intact Buck's fascia, there occurs hematoma at

  1. the penis and scrotum

  2. at the perineum in a butterfly shape

  3. penis, scrotum, perineum and lower part of anterior abdominal wall

  4. shaft of the penis only
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D Correct answer
Explanation

When Buck's fascia (deep fascia of the penis) remains intact, it limits the hematoma to the shaft of the penis. Only if Buck's fascia is disrupted does the hematoma spread to the scrotum, perineum, and lower anterior abdominal wall (butterfly shape). The intact fascia acts as a contained compartment.

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