High flow or low flow? An unusual case of ischemic priapism following gunshot wound to the cervical spinal cord

Autor: Eric J. Szczecinski, Raymond Pominville, Tyler J. Maiers, Nicole A. Belko, John J. Bodkin, III
Jazyk: angličtina
Rok vydání: 2021
Předmět:
Zdroj: Urology Case Reports, Vol 37, Iss , Pp 101631- (2021)
Druh dokumentu: article
ISSN: 2214-4420
DOI: 10.1016/j.eucr.2021.101631
Popis: Ischemic priapism has rarely been reported in the setting of acute spinal cord injury. Herein, we present a 25 year-old male with cavernous blood gas evidence of ischemic priapism following a traumatic gunshot wound with a retained bullet fragment in the third cervical vertebra. The patient received definitive treatment with corporal aspiration and irrigation, with no evidence of priapism recurrence. This unusual case emphasizes the critical importance of obtaining a cavernous blood gas, even when a common cause of non-ischemic priapism is apparent. Suspicion for ischemic priapism must be maintained, especially in the setting of multiple known risk factors.
Databáze: Directory of Open Access Journals