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[Spontaneous autoembolization in a child with high-flow post-traumatic priapism].

M L Martínez del Castillo¹, C Miguélez Lago, M García Mérida

¹Hospital Materno-Infantil, Complejo Hospitalario Carlos Haya, Málaga.

Actas Urologicas Espanolas

|February 24, 2001

Summary

This summary is machine-generated.

Arterial priapism, a rare condition in children, can result from trauma. This case report details a 5-year-old boy whose painless arterial priapism resolved spontaneously via self-embolization, a unique outcome not previously documented.

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Area of Science:

Urology
Pediatric Surgery
Vascular Surgery

Background:

Priapism is classified into low-flow (venous) and high-flow (arterial) types, with arterial priapism being rare and typically painless, especially in pediatric cases.
Traumatic injuries, particularly perineal trauma, can lead to the development of arterial priapism.

Observation:

A 5-year-old boy presented with painless arterial priapism 6 days after a closed perineal trauma.
Imaging revealed an aneurysm and fistula of the dorsal penile artery associated with the priapism.

Findings:

The arterial priapism, characterized by an arteriovenous fistula and aneurysm, resolved spontaneously through self-embolization 11 days after symptom onset.
A review of 14 reported cases of childhood arterial post-traumatic priapism did not identify any instances of spontaneous resolution via self-embolization.

Implications:

This case highlights a unique, spontaneous resolution mechanism for pediatric arterial priapism following trauma.
The findings suggest that conservative management with close observation may be a viable initial approach in select cases of pediatric traumatic arterial priapism.
Further research is warranted to understand the natural history and potential for spontaneous resolution in these rare injuries.