Resolution of recurrent ischemic priapism after celiac plexus block: case report evidence for its neurogenic origin?
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.
Burnett
Arthur L
AL
Department of Urology, The James Buchanan Brady Urological Institute, The Johns Hopkins Medical Institutions, Baltimore, MD 21287, USA. aburnett@jhmi.edu
Santiago
Carlos S
CS
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*