Sonographic diagnosis of a posttraumatic arteriocavernosal fistula resulting in high-flow priapism

✍ Scribed by Bastian Keck; Gabriele Lotter; Wolf Ferdinand Wieland; Bernd Wullich; Michael Uder; Dirk Gehrhard Engehausen; Hans Martin Fritsche

• Book ID: 102333343
• Publisher: John Wiley and Sons
• Year: 2011
• Tongue: English
• Weight: 370 KB
• Volume: 40
• Category: Article
• ISSN: 0091-2751
• DOI: 10.1002/jcu.20881

✦ Synopsis

Abstract

We present a case of high‐flow priapism due to perineal trauma and subsequent arteriocavernosal fistula, which was diagnosed by sonography. Selective arterial embolization led to complete detumescence without compromising the patient's erectile function. Color Doppler sonography is an appropriate diagnostic tool to diagnose arteriocavernosal fistula. Selective arterial embolization is a safe and effective therapeutic option. © 2011 Wiley Periodicals, Inc. J Clin Ultrasound, 2011;