Use of Doppler ultrasound and 3-dimensional contrast-enhanced MR angiography in the diagnosis and follow-up of post-traumatic high-flow priapism in a child.
We report a 7-year-old boy with post-traumatic arterial priapism. Doppler US could not reliably identify or exclude a fistula. MR angiography did not demonstrate an arteriovenous fistula and the child was treated conservatively. The ideal imaging modality should demonstrate the presence or absence of a clinically significant causative lesion which, in high-flow arterial priapism, may need intervention. Three-dimensional, contrast-enhanced MR angiography appears to fulfil these requirements. On the basis of the non-invasive imaging findings, invasive intervention was avoided in this case with a successful outcome.
Eracleous
E
E
Diagnostic Centre Ayios Therissos, Nicosia, Cyprus.
Kondou
M
M
Aristidou
K
K
Eliades
S
S
Pantziaris
M
M
Posporis
T
T
Hajivassiliou
C A
CA
D002648:Child; D005500:Follow-Up Studies; D006801:Humans; D018810:Magnetic Resonance Angiography; D008297:Male; D010413:Penis / Q000293:injuries*; D011317:Priapism / Q000175:diagnosis* / Q000000981:diagnostic imaging* / Q000209:etiology; D013997:Time Factors; D018608:Ultrasonography, Doppler