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High-flow priapism in children: immediate treatment by selective embolization
1Department of Urology and Paediatric Urology, C. H. R. U. Lille, Lille, France. gauthier.roussel@wanadoo.fr
Summary
A ten-year-old boy with high-flow priapism, caused by a traumatic aneurysm, was successfully treated with selective embolization. This case highlights the diagnostic importance of patient history and imaging, leading to effective interventional treatment.
Area of Science:
- Urology
- Pediatric Surgery
- Interventional Radiology
Background:
- High-flow priapism is a rare condition, often linked to trauma.
- Post-traumatic aneurysms can lead to abnormal arteriovenous fistulas, causing priapism.
- Early diagnosis and intervention are crucial for preserving penile function.
Observation:
- A ten-year-old boy presented with symptoms suggestive of priapism.
- Medical history and physical examination were key to initial assessment.
- Color-coded duplex ultrasonography confirmed high-flow priapism and identified an underlying aneurysm.
Findings:
- The patient had a high-flow priapism secondary to a post-traumatic aneurysm.
- Selective embolization was performed as the primary treatment modality.
- The procedure successfully addressed the arteriovenous fistula, resolving the priapism.
Implications:
- Selective embolization is an effective treatment for high-flow priapism in pediatric patients.
- This case underscores the importance of advanced imaging in diagnosing complex genitourinary trauma.
- Prompt interventional treatment can prevent long-term complications associated with priapism.