Reversed priapism, thrombosis of the dorsal penile vein: A case report
Priapism is an unintentional prolonged penile erection, lasting equal to or greater than 4 hours, in the absence of sexual stimulation or after having finished it. It is a rare pathology that can represent a urological emergency. The present report describes the case of a 25-year-old patient who pre...
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| Format: | Article |
| Language: | English |
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Elsevier
2023-02-01
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| Series: | Radiology Case Reports |
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| Online Access: | http://www.sciencedirect.com/science/article/pii/S1930043322009487 |
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| author | Rocío Enríquez García, MD Carlos Alberto Saldivar Rodea, MD Guadalupe Mercedes Lucia Guerrero Avendaño, MD Daniela Canaviri Flores, MD María Isabel Jiménez Martínez, MD Sinue Daniel Mendoza Huerta, MD |
| author_facet | Rocío Enríquez García, MD Carlos Alberto Saldivar Rodea, MD Guadalupe Mercedes Lucia Guerrero Avendaño, MD Daniela Canaviri Flores, MD María Isabel Jiménez Martínez, MD Sinue Daniel Mendoza Huerta, MD |
| author_sort | Rocío Enríquez García, MD |
| collection | DOAJ |
| description | Priapism is an unintentional prolonged penile erection, lasting equal to or greater than 4 hours, in the absence of sexual stimulation or after having finished it. It is a rare pathology that can represent a urological emergency. The present report describes the case of a 25-year-old patient who presented priapism after suffering a one-meter fall on the genital area. Patient is a 25-year-old male with macroscopic hematuria without clots, testicular pain 4/10 on the numerical pain scale, stabbing type, without irradiation, secondary to a fall that occurred 3 months earlier, which resulted in a blow to the genital area. He presented an evolution of 20 days with detumescence and erectile dysfunction. Penile Doppler was performed and inverted priapism, arteriolacunar fistula at the base of the left corpus cavernosum, plus severe erectile dysfunction, were diagnosed. After a cavernography and an arteriography, a thrombolysis was performed. The patient continued with anticoagulant treatment with clopidogrel and enoxaparin and did not present complications after thrombolysis. A detailed clinical history, physical examination and a Doppler ultrasound study can provide a clear and timely diagnosis for the patient. Cavernography and arteriography have shown satisfactory results. In the present case, thrombolysis treatment with alteplase provided favorable results. |
| first_indexed | 2024-04-11T05:57:50Z |
| format | Article |
| id | doaj.art-bffbb814892e40bd9614dfff9037248a |
| institution | Directory Open Access Journal |
| issn | 1930-0433 |
| language | English |
| last_indexed | 2024-04-11T05:57:50Z |
| publishDate | 2023-02-01 |
| publisher | Elsevier |
| record_format | Article |
| series | Radiology Case Reports |
| spelling | doaj.art-bffbb814892e40bd9614dfff9037248a2022-12-22T04:41:50ZengElsevierRadiology Case Reports1930-04332023-02-01182467471Reversed priapism, thrombosis of the dorsal penile vein: A case reportRocío Enríquez García, MD0Carlos Alberto Saldivar Rodea, MD1Guadalupe Mercedes Lucia Guerrero Avendaño, MD2Daniela Canaviri Flores, MD3María Isabel Jiménez Martínez, MD4Sinue Daniel Mendoza Huerta, MD5Interventional Radiology, Department of Radiology. Hospital General de México – Universidad Nacional Autónoma de México, Dr. Balmis 148, Doctores, Cuauhtémoc, CP 06720, CDMX, México; Corresponding author.Interventional Radiology, Department of Radiology. Hospital General de México – Universidad Nacional Autónoma de México, Dr. Balmis 148, Doctores, Cuauhtémoc, CP 06720, CDMX, MéxicoInterventional Radiology, Department of Radiology. Hospital General de México – Universidad Nacional Autónoma de México, Dr. Balmis 148, Doctores, Cuauhtémoc, CP 06720, CDMX, MéxicoInterventional Radiology, Department of Radiology. Hospital General de México – Universidad Nacional Autónoma de México, Dr. Balmis 148, Doctores, Cuauhtémoc, CP 06720, CDMX, MéxicoRadiology and Imaging Service, Hospital Regional 1o de Octubre, ISSSTE, Av. Instituto Politécnico Nacional 1669, Revolución IMSS, Gustavo A. Madero, CP 07300, México City, CDMX, MéxicoRadiology and Imaging Service, Hospital general del sur de Puebla “Dr. Eduardo Vázquez N”, Benemerita Universidad Autónoma de Puebla San Carlos la Roncha, CP 37660, Antiguo Camino Guadalupe Hidalgo 11350, Amp. Lomas de Castillotla, 72490, Puebla, Pue, MéxicoPriapism is an unintentional prolonged penile erection, lasting equal to or greater than 4 hours, in the absence of sexual stimulation or after having finished it. It is a rare pathology that can represent a urological emergency. The present report describes the case of a 25-year-old patient who presented priapism after suffering a one-meter fall on the genital area. Patient is a 25-year-old male with macroscopic hematuria without clots, testicular pain 4/10 on the numerical pain scale, stabbing type, without irradiation, secondary to a fall that occurred 3 months earlier, which resulted in a blow to the genital area. He presented an evolution of 20 days with detumescence and erectile dysfunction. Penile Doppler was performed and inverted priapism, arteriolacunar fistula at the base of the left corpus cavernosum, plus severe erectile dysfunction, were diagnosed. After a cavernography and an arteriography, a thrombolysis was performed. The patient continued with anticoagulant treatment with clopidogrel and enoxaparin and did not present complications after thrombolysis. A detailed clinical history, physical examination and a Doppler ultrasound study can provide a clear and timely diagnosis for the patient. Cavernography and arteriography have shown satisfactory results. In the present case, thrombolysis treatment with alteplase provided favorable results.http://www.sciencedirect.com/science/article/pii/S1930043322009487Inverted priapismSevere erectile dysfunctionThrombolysis |
| spellingShingle | Rocío Enríquez García, MD Carlos Alberto Saldivar Rodea, MD Guadalupe Mercedes Lucia Guerrero Avendaño, MD Daniela Canaviri Flores, MD María Isabel Jiménez Martínez, MD Sinue Daniel Mendoza Huerta, MD Reversed priapism, thrombosis of the dorsal penile vein: A case report Radiology Case Reports Inverted priapism Severe erectile dysfunction Thrombolysis |
| title | Reversed priapism, thrombosis of the dorsal penile vein: A case report |
| title_full | Reversed priapism, thrombosis of the dorsal penile vein: A case report |
| title_fullStr | Reversed priapism, thrombosis of the dorsal penile vein: A case report |
| title_full_unstemmed | Reversed priapism, thrombosis of the dorsal penile vein: A case report |
| title_short | Reversed priapism, thrombosis of the dorsal penile vein: A case report |
| title_sort | reversed priapism thrombosis of the dorsal penile vein a case report |
| topic | Inverted priapism Severe erectile dysfunction Thrombolysis |
| url | http://www.sciencedirect.com/science/article/pii/S1930043322009487 |
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