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High-flow priapism in acute lymphatic leukaemia
Hans-Joachim Mentzel1, Karim Kentouche, Claus Doerfel
1Institute of Diagnostic and Interventional Radiology, Department of Pediatric Radiology, Friedrich-Schiller-Universität Jena, Bachstrasse 18, 07740 Jena, Germany. hans-joachim.mentzel@med.uni-jena.de
Pediatric Radiology
|June 19, 2004
Summary
Priapism, a persistent erection, is rare in children with leukemia. This case study details a 12-year-old boy with acute leukemia who experienced priapism, successfully managed non-invasively.
Area of Science:
- Pediatric Hematology Oncology
- Urology
- Radiology
Background:
- Priapism is a prolonged erection not caused by sexual stimulation.
- It is linked to hyperleukocytosis in leukemia but is uncommon in pediatric patients.
- This report focuses on a rare pediatric case of priapism associated with acute leukemia.
Observation:
- A 12-year-old boy with acute leukemia presented with intermittent, then persistent, erections.
- Doppler ultrasonography indicated high-flow priapism.
- MRI and MR angiography ruled out intrapelvic masses, arteriovenous fistulas, or thrombosis.
Findings:
- Cavernosal blood-gas analysis confirmed high-flow priapism.
- Imaging results guided non-invasive management, avoiding surgical or pharmacologic interventions.
- The patient experienced a successful outcome without invasive procedures.
Implications:
- This case highlights the importance of considering priapism in pediatric leukemia patients with persistent erections.
- Non-invasive diagnostic imaging can effectively characterize priapism and guide treatment.
- Avoiding invasive therapies in such cases can lead to favorable outcomes and reduced patient morbidity.

