[Erection due to 'high flow' priapism in a 5-year old: an emergency].
A healthy 5-year-old child was brought to the general practitioner with priapism that had been observed for a few days, without any other symptoms. Angiography revealed an arteriovenous fistula originating from the left A. dorsalis penis, which was successfully embolised. The diagnosis was 'high flow' priapism. A possible cause in the anamnesis was a fall from a swing two weeks before the embolisation. The doctor's delay was caused by unfamiliarity with this rare disorder; due to the risk of impotence (impotentia coeundi), it is an emergency situation.
Donker
G A
GA
Nederlands instituut voor onderzoek van de gezondheidszorg (NIVEL), Postbus 1568, 3500 BN Utrecht. g.donker@nivel.nl
D000058:Accidental Falls; D000792:Angiography; D001164:Arteriovenous Fistula / Q000150:complications / Q000000981:diagnostic imaging / Q000628:therapy*; D002675:Child, Preschool; D004621:Embolization, Therapeutic / Q000379:methods*; D004630:Emergencies; D006801:Humans; D008297:Male; D010413:Penis / Q000098:blood supply*; D011317:Priapism / Q000209:etiology* / Q000601:surgery; D012039:Regional Blood Flow; D016896:Treatment Outcome