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[Erection due to 'high flow' priapism in a 5-year old: an emergency]
1Nederlands instituut voor onderzoek van de gezondheidszorg (NIVEL), Postbus 1568, 3500 BN Utrecht. g.donker@nivel.nl
Abstract:
A healthy 5-year-old child was brought to the general practitioner with priapism that had been observed for a few days, without any other symptoms. Angiography revealed an arteriovenous fistula originating from the left A. dorsalis penis, which was successfully embolised. The diagnosis was 'high flow' priapism. A possible cause in the anamnesis was a fall from a swing two weeks before the embolisation. The doctor's delay was caused by unfamiliarity with this rare disorder; due to the risk of impotence (impotentia coeundi), it is an emergency situation.
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