High-flow priapism: Highly selective embolization of a traumatic arterio-cavernosal fistula

H Dang; C Perazzini; S Caudron; A Ravel; E Dumousset; P Chabrot; L Boyer

doi:10.1016/j.jdmv.2021.11.001

High-flow priapism: Highly selective embolization of a traumatic arterio-cavernosal fistula

J Med Vasc. 2022 Feb;47(1):27-32. doi: 10.1016/j.jdmv.2021.11.001. Epub 2021 Dec 1.

Authors

H Dang¹, C Perazzini², S Caudron³, A Ravel¹, E Dumousset¹, P Chabrot¹, L Boyer¹

Affiliations

¹ Radiology Department, University Hospital Gabriel-Montpied, 58, rue Montalembert, 63000 Clermont-Ferrand, France.
² Radiology Department, University Hospital Gabriel-Montpied, 58, rue Montalembert, 63000 Clermont-Ferrand, France. Electronic address: [email protected].
³ Radiology Department, University Hospital de Limoges, 2, avenue Martin-Luther-King, 87042 Limoges cedex, France.

PMID: 35393088
DOI: 10.1016/j.jdmv.2021.11.001

Abstract

We report the case of a 14-year-old man who arrived at the emergency department affected by a high-flow priapism due to a traumatic left arterial-sinusoidal fistula. After clinical examination, a colour Doppler ultrasound of the penis was performed which showed a left arterial-sinusoidal fistula measuring 7×16×30mm, with high-speed and turbulent flow. The fistula was successfully treated by three highly selective endovascular embolizations and at the 20days follow-up, clinical examination resulted normal.

Keywords: Arterial priapism; Erectile function; Selective embolization.

Publication types

Case Reports
Letter

MeSH terms

Adolescent
Embolization, Therapeutic*
Fistula* / therapy
Humans
Male
Penis / blood supply
Priapism* / diagnostic imaging
Priapism* / etiology
Priapism* / therapy
Ultrasonography, Doppler, Color / methods
Vascular Diseases* / therapy