Huei T J, Lip H T, Shamsuddin O
Hospital Sultanah Aminah, Department of General Surgery, Johor Bahru, Malaysia.
Hospital Sultanah Aminah, Department of Urology, Johor Bahru, Malaysia.
Med J Malaysia. 2018 Dec;73(6):420-422.
Priapism is a rare clinical presentation of a patient with chronic myeloid leukaemia (CML). Herein, we present a young Nepalese man that presented to the emergency department with an acute and painful penile erection for two days. Clinically, he was pale and abdominal examination revealed hepatomegaly. Combined oncologic and initial urological intervention with carvernosal aspiration and intracavernosal phenylephrine failed to achieve detumescence. The patient underwent an emergency corporoglandular shunting eventually. In this case report, we discuss the management compared with previously reported cases.
阴茎异常勃起是慢性髓性白血病(CML)患者罕见的临床表现。在此,我们报告一名年轻的尼泊尔男性,他因急性疼痛性阴茎勃起两天就诊于急诊科。临床上,他面色苍白,腹部检查发现肝肿大。联合肿瘤学和初始泌尿外科干预措施,包括海绵体抽吸和海绵体内注射去氧肾上腺素,未能使阴茎消肿。该患者最终接受了紧急阴茎头分流术。在本病例报告中,我们将与先前报道的病例进行比较,讨论其治疗方法。