Kaufman J L, Chang B B, Shah D M, Koslow A R, Leather R P
Department of Surgery, Albany Medical College, New York 12208.
Ann Vasc Surg. 1991 Jul;5(4):370-4. doi: 10.1007/BF02015300.
Three patients developed severe ischemia of the penis or scrotum from acute arterial occlusion. In one case, nonhealing ulceration of the glans developed after atheroembolism to the dorsal penile artery. One patient had penile ischemia after ligation of pelvic and femoral collateral circulation during repair of an aorto-bilateral-iliac artery aneurysm. A third patient had ischemia of the penis and scrotum from thromboembolism to the iliac arteries during repair of an aortoenteric fistula. Only seven patients have been described with acute arterial occlusion and severe ischemia of the male genitalia. A rare phenomenon because of rich collateral circulation, acute ischemia of the genitalia nevertheless must be recognized as a sign of severe vascular disease and a consequence of major arterial ligation or occlusion in the pelvis and groins.
三名患者因急性动脉闭塞出现阴茎或阴囊严重缺血。其中一例，阴茎背动脉发生动脉粥样硬化栓塞后，龟头出现不愈合溃疡。一名患者在修复主动脉 - 双侧髂动脉瘤时结扎盆腔和股侧支循环后出现阴茎缺血。第三名患者在修复主动脉肠瘘时因髂动脉血栓栓塞出现阴茎和阴囊缺血。仅有七例男性生殖器急性动脉闭塞和严重缺血的病例被描述。由于丰富的侧支循环，生殖器急性缺血虽是一种罕见现象，但仍必须被视为严重血管疾病的体征以及骨盆和腹股沟主要动脉结扎或闭塞的后果。
