• Am J Emerg Med · Jan 2021

    Case Reports

    Priapism in a patient with coronavirus disease 2019 (COVID-19): A case report.

    • Myriam Lamamri, Ala Chebbi, Jordan Mamane, Sofia Abbad, Milena Munuzzolini, Florence Sarfati, and Stéphane Legriel.
    • Intensive Care department, Centre Hospitalier de Versailles - Site André Mignot, Le Chesnay, France.
    • Am J Emerg Med. 2021 Jan 1; 39: 251.e5-251.e7.

    AbstractThromboembolic complications related to SARS-CoV-2 have been extensively reported. They include deep vein thrombosis, pulmonary embolism, ischemic stroke, and acute coronary syndrome. Penile thrombosis has not been reported as a thrombotic complication of SARS-CoV-2 infection with hypercoagulability. Here we describe a case of priapism as a thromboembolic complication in a patient with COVID-19 who recovered from acute respiratory distress syndrome (ARDS). We discuss the underlying pathophysiological mechanisms mainly related to an hypercoagulability state. Emergency management consisted on an intracavernosal injection of the sympathomimetic agent ethylephrine and cavernosal blood aspiration. The patient experienced no recurrences under thromboprophylaxis by enoxaparin 40 mg twice daily.Copyright © 2020 Elsevier Inc. All rights reserved.

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