12-year-old male patient, without relevant medical history presented to the emergency department 10 hours after suffering a straddle injury after falling from his bicycle, presenting with frank urethrorrhagia and intense pain. He was admitted afebrile, tendency to hypotension, without tachycardia. Presented with volume growth, induration and pain to superficial palpation of the perineum, without genital pain nor hematoma. Spontaneous micturition was maintained but with active urethrorrhagia and blood clots.
In the pelvis radiography no traumatic skeletal lesions were observed and both kidneys and bladder appeared normal on urgency sonographic evaluation. The patient was admitted to a critical care unit for monitoring, where he manifested hemodynamic instability with progressive hematocrit drop. After stabilization, conservative management was decided with tranexamic acid and compressive…
