Chang Meng-Wei, Tang Chung-Chih, Chang Shy-Shin
Department of Emergency Medicine, Chang Gung Memorial Hospital, Gueishan Shiang, Taoyuan, Taiwan 333, ROC.
Chang Gung Med J. 2003 Apr;26(4):288-92.
Priapism is a complication rarely seen in leukemia. We report a 21-year-old man presented with persistent painful erection of penis for 19 hours at home. The patient had undergone immediate irrigation and decompression of priapism by urologist at emergency department. This approach resulted in a flaccid penis later. During hospitalization, peripheral blood smear and bone marrow aspiration was confirmatory of chronic myeloid leukemia. No impotency nor other sequela was noted after his discharge. This case illustrates the importance of all physicians in the diagnosis and management of patients with priapism.
阴茎异常勃起是白血病中罕见的一种并发症。我们报告一名21岁男性,在家中出现阴茎持续疼痛勃起达19小时。患者在急诊科由泌尿科医生立即进行了阴茎异常勃起的冲洗和减压治疗。该方法随后使阴茎疲软。住院期间,外周血涂片和骨髓穿刺确诊为慢性粒细胞白血病。出院后未发现阳痿或其他后遗症。该病例说明了所有医生在阴茎异常勃起患者诊断和管理中的重要性。