title: Resolution of recurrent ischemic priapism after celiac plexus block: case report evidence for its neurogenic origin?
abstract: BACKGROUND
  Recurrent ischemic priapism likely has a neurogenic basis for some clinical presentations.
  
  
  OBJECTIVE
  To describe a phenomenon of resolved recurrent ischemic priapism in a patient following celiac plexus block for recurrent upper abdominal pain.
  
  
  METHODS
  The case report profiled a 44-year-old Caucasian man who developed recurrent ischemic priapism after retroperitoneal surgery. He had failed multiple conventional interventions for his priapism. After he underwent a celiac plexus block for recurrent upper abdominal pain, his recurrent priapism episodes immediately stopped.
  
  
  METHODS
  Clinical history regarding priapism occurrences.
  
  
  RESULTS
  The patient obtained a resolution of his priapism after celiac plexus block, without recurrences at a 6-month follow-up assessment.
  
  
  CONCLUSIONS
  Celiac plexus block successfully led to resolution of recurrent ischemic priapism of probable neurogenic origin associated with spinal nerve outflow injury.
authors.affiliation: Department of Urology, The James Buchanan Brady Urological Institute, The Johns Hopkins Medical Institutions, Baltimore, MD 21287, USA. aburnett@jhmi.edu
authors.forename: Arthur L
authors.initials: AL
authors.lastname: Burnett
authors.forename: Carlos S
authors.initials: CS
authors.lastname: Santiago
mesh_terms: D000328:Adult; D001340:Autonomic Nerve Block / Q000379:methods*; D002447:Celiac Plexus / Q000187:drug effects*; D006801:Humans; D007511:Ischemia / Q000209:etiology* / Q000503:physiopathology*; D007813:Laparotomy; D008297:Male; D010413:Penis / Q000098:blood supply* / Q000601:surgery*; D011183:Postoperative Complications; D011317:Priapism / Q000188:drug therapy* / Q000209:etiology*; D012008:Recurrence; D013127:Spinal Nerves / Q000187:drug effects* / Q000503:physiopathology*