Concomitant occlusion of the deep dorsal vein and dorsal artery of the penis in a sickle cell anaemia patient

Penile Mondor disease is a rare, often underrecognized condition caused by thrombosis of the superficial dorsal penile vein; arterial thrombosis is even rarer. We report a 30-year-old man with sickle cell anaemia who presented with 10 days of painful erections and dorsal penile induration. Doppler ultrasound demonstrated deep dorsal penile vein and left dorsal penile artery thrombosis. Sickle cell anaemia confers a hypercoagulable state predisposing to venous and arterial thrombosis. This represents the first reported case of combined deep dorsal penile vein and artery thrombosis, highlighting the value of Doppler ultrasound and need for clinical suspicion in patients with coagulopathies. • Penile Mondor disease is rare and frequently underrecognized • First reported case of combined dorsal vein and artery thrombosis • Sickle cell anaemia may predispose to penile venous and arterial thrombosis • Doppler ultrasound is key for diagnosis and vascular assessment