• Pediatric radiology · Jul 2004

    Case Reports

    High-flow priapism in acute lymphatic leukaemia.

    • Hans-Joachim Mentzel, Karim Kentouche, Claus Doerfel, Susanna Vogt, Felix Zintl, and Werner A Kaiser.
    • Institute 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
    • Pediatr Radiol. 2004 Jul 1; 34 (7): 560-3.

    AbstractPriapism is defined as prolonged and persistent erection of the penis without sexual stimulation. It is associated with excessive hyperleukocytosis (e.g. in acute or chronic leukaemia); however, this complication is rarely seen in the pediatric population. We report a 12-year-old boy suffering from acute leukaemia presenting with, at first intermittent, but increasingly persistent erection. Doppler US revealed signs of high-flow priapism. MRI excluded intrapelvic tumour masses, and three-dimensional contrast-enhanced MR angiography could not demonstrate an arteriovenous fistula or thrombosis. Cavernosal blood-gas measurement was in agreement with high-flow priapism. On the basis of the imaging findings, invasive therapeutic management was avoided in our patient with a successful outcome.

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