title: Airborne Priapism: A Case of Nonischemic Priapism After Military Static-Line Parachute Injury.
abstract: We report the case of a 21-year-old active duty U.S. Army soldier with painful and nonresolving priapism following blunt pelvic and lower extremity trauma from military static-line parachute injury during training. The patient's condition was initially managed with corporal aspiration and intracavernosal injections of phenylephrine that provided temporary relief but recurrence soon after. Referral to Urology at the site of the patient's injury yielded a diagnosis of penile hematoma. On subsequent evaluation by Urology on return to the patient's home duty station (over 96 hours after injury, with symptoms persisting), the corpora cavernosa were rigid, the corpus spongiosum was soft, and corporal blood gas drawn by the emergency department consistent with arterial blood. Penile duplex ultrasound revealed an isolated arterial-cavernosal fistula within the proximal left corporal body. The patient underwent percutaneous embolization of the fistula with successful resolution of his condition and return of normal erectile function. We discuss this unique case of high-flow priapism occurring after blunt trauma from military parachute injury and review suggested management in a stepwise fashion. The case is significant in that extensive literature review yields no previously described case of priapism following trauma from military parachute injury.
authors.affiliation: Department of Emergency Medicine, Womack Army Medical Center, 2817 Reilly Road, Fort Bragg, NC 28307.
authors.forename: Grigory
authors.initials: G
authors.lastname: Charny
authors.affiliation: 122 Aviation Support Battalion, 82nd Combat Aviation Brigade, Building 3-5205, Fort Bragg, NC 28310.
authors.forename: Zachary
authors.initials: Z
authors.lastname: Booms
authors.affiliation: Urology Service, Womack Army Medical Center, 2817 Reilly Road, Fort Bragg, NC 28307.
authors.forename: Patrick
authors.initials: P
authors.lastname: McDonough
authors.affiliation: Department of Emergency Medicine, Bayne Jones Army Community Hospital, 1585 3rd Street, Fort Polk, LA 71459.
authors.forename: Steven
authors.initials: S
authors.lastname: Schauer
mesh_terms: D000792:Angiography; D006801:Humans; D008297:Male; D008889:Military Personnel; D010413:Penis / Q000098:blood supply / Q000293:injuries*; D011317:Priapism / Q000175:diagnosis / Q000209:etiology*; D014949:Wounds, Nonpenetrating / Q000150:complications* / Q000175:diagnosis; D055815:Young Adult