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High-flow priapism in children: immediate treatment by selective embolization

G Roussel1, Y Robert, P Mahe

  • 1Department of Urology and Paediatric Urology, C. H. R. U. Lille, Lille, France. gauthier.roussel@wanadoo.fr

European Journal of Pediatric Surgery : Official Journal of Austrian Association of Pediatric Surgery ... [Et Al] = Zeitschrift Fur Kinderchirurgie
|November 24, 2001
PubMed

Insights

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.

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