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Sonographic diagnosis of a posttraumatic arteriocavernosal fistula resulting in high‐flow priapism
Author(s) -
Keck Bastian,
Lotter Gabriele,
Wieland Wolf Ferdinand,
Wullich Bernd,
Uder Michael,
Engehausen Dirk Gehrhard,
Fritsche Hans Martin
Publication year - 2012
Publication title -
journal of clinical ultrasound
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.272
H-Index - 61
eISSN - 1097-0096
pISSN - 0091-2751
DOI - 10.1002/jcu.20881
Subject(s) - medicine , priapism , embolization , fistula , erectile function , radiology , arterial embolization , doppler sonography , surgery , penis , color doppler , erectile dysfunction , ultrasonography
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;