Sossa Melo Claudia Lucia, Orozco Orozco Carlos Alberto, Peña Castellanos Angela Maria, Rueda Perea Maria Alejandra, Porras Bueno Cristian Orlando, Romero Diaz Carlos Ivan, Rojas Rodríguez Helga Natalia
Servicio de Hemato-oncología Fundación Oftalmológica de Santander Facultad Ciencias de la Salud Universidad Autónoma de Bucaramanga Bucaramanga Colombia.
Servicio de Hemato-oncología Fundación Oftalmológica de Santander Programa para el Tratamiento y Estudio de Enfermedades Hematológicas y Oncológicas de Santander - PROTEHOS Bucaramanga Colombia.
Clin Case Rep. 2021 Nov 19;9(11):e04901. doi: 10.1002/ccr3.4901. eCollection 2021 Nov.
We report the case of a patient who was initially presented with ischemic priapism to the emergency department. He was treated with adrenaline intracavernous injections and aspiration with irrigation of the corpora cavernosa and distal shunt. In the postoperative period, anemia, basophilia, eosinophilia, thrombocytosis and hyperleukocytosis were detected. The patient was subsequently diagnosed with chronic myeloid leukemia. Priapism is a rare manifestation of chronic myeloid leukemia (≤ 3%) and occurs mostly due to hyperleukocytosis, resulting in thrombus formation and corporal venous outflow obstruction. Priapism occurring in any setting is considered as a medical emergency that requires immediate local therapy because of resulting irreversible cell damage and fibrosis if not treated within the first 24-48 h.
我们报告了一名最初因缺血性阴茎异常勃起被送至急诊科的患者病例。他接受了海绵体内注射肾上腺素以及海绵体冲洗抽吸和远端分流治疗。术后，检测到贫血、嗜碱性粒细胞增多、嗜酸性粒细胞增多、血小板增多和白细胞增多。该患者随后被诊断为慢性髓系白血病。阴茎异常勃起是慢性髓系白血病的一种罕见表现（≤3%），主要由于白细胞增多导致血栓形成和海绵体静脉流出道梗阻。在任何情况下发生的阴茎异常勃起都被视为医疗急症，由于如果在最初24 - 48小时内未得到治疗会导致不可逆的细胞损伤和纤维化，因此需要立即进行局部治疗。
