Intensive Care department, Centre Hospitalier de Versailles - Site André Mignot, Le Chesnay, France.
Urology department, Paris Saint-Joseph Hospital, Paris, France.
Am J Emerg Med. 2021 Jan;39:251.e5-251.e7. doi: 10.1016/j.ajem.2020.06.027. Epub 2020 Jun 18.
Thromboembolic complications related to SARS-CoV-2 have been extensively reported. They include deep vein thrombosis, pulmonary embolism, ischemic stroke, and acute coronary syndrome. Penile thrombosis has not been reported as a thrombotic complication of SARS-CoV-2 infection with hypercoagulability. Here we describe a case of priapism as a thromboembolic complication in a patient with COVID-19 who recovered from acute respiratory distress syndrome (ARDS). We discuss the underlying pathophysiological mechanisms mainly related to an hypercoagulability state. Emergency management consisted on an intracavernosal injection of the sympathomimetic agent ethylephrine and cavernosal blood aspiration. The patient experienced no recurrences under thromboprophylaxis by enoxaparin 40 mg twice daily.
与 SARS-CoV-2 相关的血栓栓塞并发症已有广泛报道。它们包括深静脉血栓形成、肺栓塞、缺血性中风和急性冠状动脉综合征。阴茎血栓形成尚未被报道为 SARS-CoV-2 感染伴高凝状态的血栓并发症。在这里，我们描述了一例 COVID-19 患者的阴茎异常勃起作为血栓栓塞并发症的病例，该患者从急性呼吸窘迫综合征 (ARDS) 中康复。我们讨论了主要与高凝状态相关的潜在病理生理机制。急症管理包括在阴茎海绵体内注射拟交感神经药物去氧肾上腺素和阴茎海绵体抽吸血液。该患者在每日两次皮下注射依诺肝素 40mg 进行血栓预防治疗下，未再复发。
