Postraumatic high-flow priapism in pediatric patient treated with selective arterial embolization

• Published in: Archivos argentinos de pediatría Vol. 113; no. 4; pp. e199 - e202
• Main Authors: Molina Escudero, Roberto, Hernández Atance, José, Ballesteros García, María del Mar, Páez Borda, Álvaro
• Format: Journal Article
• Language: Spanish
• Published: Argentina 01-08-2015
• Subjects: Adolescent; Decision Trees; Embolization, Therapeutic - methods; Humans; Male; Priapism - etiology; Priapism - physiopathology; Priapism - therapy; Regional Blood Flow; Scrotum - injuries; Wounds, Nonpenetrating - complications
• ISSN: 1668-3501
• DOI: 10.5546/aap.2015.e199

Arterial priapism is a rare condition in pediatric patients, caused by a fistula between the cavernous artery and the sinusoids of the corpus cavernosum, usually secondary to perineal trauma. We report the case of a 16 year old child with arterial priapism of 5 days duration following a fall astride, successfully treated by superselective arterial embolization with absorbable material. Six months later the patient had complete detumescence without secondary erectile dysfunction. Arterial embolization in pediatric patients is complex due to the smaller arterial size and the need to control the contralateral internal pudendal artery to prevent the development of complications. The use of absorbable material helps reduce the risk of subsequent erectile dysfunction and, although it has a higher rate of recurrence, is an alternative for the treatment of this pathology.