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Ethylene-vinyl alcohol copolymer (Onyx®) transarterial embolization for post-traumatic high-flow priapism
- Source :
- Quantitative Imaging in Medicine and Surgery, Quantitative Imaging in Medicine and Surgery, AME Publishing, 2016, 6 (3), pp.323-327. ⟨10.21037/qims.2016.06.02⟩, Quantitative Imaging in Medicine and Surgery, AME Publishing, 2016, 6 (3), pp.323-327. 〈10.21037/qims.2016.06.02〉
- Publication Year :
- 2016
- Publisher :
- AME Publishing Company, 2016.
-
Abstract
- International audience; We report a case of high-flow priapism treated successfully with superselective embolization of the cavernous artery. A 16-year-old male developed post-traumatic priapism subsequent to a fall causing blunt perineal trauma. He presented to our hospital four days after trauma. Immediately after the injury, he suffered painless sustained incomplete erection. High-flow priapism was diagnosed on the basis of color doppler ultrasonography findings. Computed tomography scan showed a high-flow arterio-venous fistula with feeders from branches of the right internal iliac artery. Selective arteriography of the right internal pudendal artery demonstrated an arterio-cavernous fistula. The fistula was superselectively embolized with ethylene-vinyl alcohol copolymer (Onyx (R)) liquid agent and disappeared completely. Improvement was noted, with significant detumescence on table. This was later confirmed on repeat color Doppler imaging. At follow-up 3 months later, he had normal erectile function. To our knowledge, transarterial embolization of high-flow priapism with Onyx (R) has never been reported and appears to be a safe and effective treatment for managing patients with such a condition.
- Subjects :
- medicine.medical_specialty
[SDV.IB.IMA]Life Sciences [q-bio]/Bioengineering/Imaging
Fistula
Priapism
030232 urology & nephrology
Case Report
Computed tomography
[SDV.IB.MN]Life Sciences [q-bio]/Bioengineering/Nuclear medicine
[ SDV.IB.MN ] Life Sciences [q-bio]/Bioengineering/Nuclear medicine
030218 nuclear medicine & medical imaging
03 medical and health sciences
0302 clinical medicine
Blunt
transarterial embolization
Ethylene vinyl alcohol copolymer
Transarterial embolization
medicine
ethylene-vinyl alcohol copolymer
Radiology, Nuclear Medicine and imaging
[ SDV.IB ] Life Sciences [q-bio]/Bioengineering
High-flow priapism
[ SDV.IB.IMA ] Life Sciences [q-bio]/Bioengineering/Imaging
medicine.diagnostic_test
business.industry
computed tomography
Color doppler
High flow priapism
medicine.disease
3. Good health
Surgery
[SDV.IB]Life Sciences [q-bio]/Bioengineering
Radiology
business
Subjects
Details
- ISSN :
- 22234306 and 22234292
- Volume :
- 6
- Database :
- OpenAIRE
- Journal :
- Quantitative Imaging in Medicine and Surgery
- Accession number :
- edsair.doi.dedup.....5fdc791b8e0b9239e15c2be258674671