Posttraumatic high-flow priapism: treatment with selective embolisation.
Priapism is an uncommon problem in childhood. Most of the reported cases are in boys with sickle-cell disease or leukaemia. It occurs as a result of venous outflow obstruction, resulting in engorgement of the corpora cavernosa, and is termed "low-flow" priapism. In a small group of children priapism is due to uncontrolled arterial inflow, usually as a result of direct trauma. The authors report a case of posttraumatic arterial priapism in a child, successfully treated with selective embolisation of the internal pudendal artery. Recognition of this distinct entity is important, as it carries a good prognosis when appropriately treated.
Shankar
K R
KR
Department of Paediatric Surgery, Alder Hey Children's Hospital, Liverpool, UK.
Babar
S
S
Rowlands
P
P
Jones
M O
MO
D015901:Angiography, Digital Subtraction; D001164:Arteriovenous Fistula / Q000000981:diagnostic imaging / Q000209:etiology* / Q000628:therapy*; D001642:Bicycling / Q000293:injuries*; D002648:Child; D003937:Diagnosis, Differential; D004621:Embolization, Therapeutic / Q000295:instrumentation / Q000379:methods*; D006801:Humans; D008297:Male; D010502:Perineum / Q000293:injuries*; D011317:Priapism / Q000145:classification / Q000000981:diagnostic imaging / Q000209:etiology* / Q000628:therapy*; D011379:Prognosis; D016896:Treatment Outcome; D014949:Wounds, Nonpenetrating / Q000150:complications*