Szczecinski Eric J, Pominville Raymond, Maiers Tyler J, Belko Nicole A, Bodkin John J
Department of Urology, University at Buffalo, Jacobs School of Medicine and Biomedical Sciences, Buffalo General Medical Center, 100 High Street, Suite B280, Buffalo, NY, 14203, USA.
Western New York Urology Associates, 3085 Harlem Rd, Cheektowaga, NY, 14225, USA.
Urol Case Rep. 2021 Mar 5;37:101631. doi: 10.1016/j.eucr.2021.101631. eCollection 2021 Jul.
Ischemic priapism has rarely been reported in the setting of acute spinal cord injury. Herein, we present a 25 year-old male with cavernous blood gas evidence of ischemic priapism following a traumatic gunshot wound with a retained bullet fragment in the third cervical vertebra. The patient received definitive treatment with corporal aspiration and irrigation, with no evidence of priapism recurrence. This unusual case emphasizes the critical importance of obtaining a cavernous blood gas, even when a common cause of non-ischemic priapism is apparent. Suspicion for ischemic priapism must be maintained, especially in the setting of multiple known risk factors.
缺血性阴茎异常勃起在急性脊髓损伤的情况下鲜有报道。在此，我们报告一名25岁男性，在遭受枪伤且第三颈椎留有子弹碎片后，海绵体血气分析显示存在缺血性阴茎异常勃起。该患者接受了阴茎海绵体抽吸和冲洗的确定性治疗，无阴茎异常勃起复发的迹象。这一罕见病例强调了即使非缺血性阴茎异常勃起的常见病因明显，获取海绵体血气分析的至关重要性。必须持续怀疑缺血性阴茎异常勃起，尤其是在存在多种已知危险因素的情况下。
