Use of magnetic resonance angiography in diagnosis and decision making of post-traumatic, high-flow priapism.
The ideal imaging modality should demonstrate the presence or absence of a clinically significant causative vascular lesion which, in high-flow arterial priapism, may need intervention. We report a 22-year-old male with post-traumatic arterial priapism. Doppler US could not reliably identify a significant vascular lesion. Magnetic resonance angiography (MRA) demonstrated the presence of cavernous artery pseudoaneurysm. Based on this finding, embolization was decided with a successful outcome. Contrast enhanced The ideal imaging modality should demonstrate the presence or absence of a clinically significant, causative vascular lesion that, in high-flow arterial priapism, may need intervention. We report a 22-year-old male with post-traumatic arterial priapism. Color Doppler ultrasound could not reliably identify a significant vascular lesion. Magnetic resonance angiography (MRA) demonstrated the presence of a cavernous artery pseudoaneurysm. Based on this finding, embolization was decided, with a successful outcome. Contrast-enhanced MRA appears to be a useful, noninvasive diagnostic tool for decision making in cases of high-flow priapism.
El-Assmy
Ahmed
A
Urology Department, Urology and Nephrology Center, Mansoura University, Mansoura, Egypt. a_assmy@yahoo.com
Hekal
Ihab A
IA
Abou-El-Ghar
Mohamed E
ME
D000328:Adult; D017541:Aneurysm, False / Q000000981:diagnostic imaging; D004621:Embolization, Therapeutic; D006801:Humans; D018810:Magnetic Resonance Angiography; D008297:Male; D010413:Penis / Q000098:blood supply / Q000473:pathology*; D011317:Priapism / Q000175:diagnosis* / Q000503:physiopathology / Q000628:therapy; D016896:Treatment Outcome; D018615:Ultrasonography, Doppler, Color