Alsaedi Saad M, Alsarwani Rakan M, Ali Ahmed I, Aladhrai Saleem A
College of Medicine, Umm Al-Qura University, Makkah, Saudi Arabia.
Department of Urology, Security Forces Hospital Program, Makkah, Saudi Arabia.
Case Rep Med. 2022 Feb 8;2022:8408216. doi: 10.1155/2022/8408216. eCollection 2022.
Priapism is considered a rare disorder and even more rare when it occurs as a complication of COVID-19. To the best of our knowledge, only eight studies have reported priapism as a complication of COVID-19. Here, we report the case of a 66-year-old male with COVID-19 who presented with neglected priapism for three days. On local examination, penile erection was apparent in association with blackened areas on the glans penis extending to the midpenile shaft denoting penile gangrene. A clear line of demarcation was noticed at the midpenile shaft. Penile duplex was performed, showing no blood flow in both cavernosal arteries. Penile aspiration was performed, and the cavernosal blood sample showed evidence of ischemic priapism. Given the presence of penile gangrene extending to the midshaft of the penis and the poor general condition of the patient, the decision was made to perform partial penectomy and suprapubic tube placement. We recommend the establishment of a guideline for the diagnosis and prevention of thrombotic diseases in patients with COVID-19 infection as there is increasing evidence of COVID-19-related thrombotic manifestations.
阴茎异常勃起被认为是一种罕见的病症，而作为新型冠状病毒肺炎（COVID-19）的并发症出现时则更为罕见。据我们所知，仅有八项研究报告了阴茎异常勃起作为COVID-19的并发症。在此，我们报告一例66岁的COVID-19男性患者病例，该患者出现被忽视的阴茎异常勃起达三天之久。局部检查时，阴茎勃起明显，伴有龟头变黑区域，延伸至阴茎中段，表示阴茎坏疽。在阴茎中段可见明显的分界线。进行了阴茎双功能超声检查，显示两条海绵体动脉均无血流。进行了阴茎抽吸，海绵体血样显示为缺血性阴茎异常勃起的证据。鉴于阴茎坏疽延伸至阴茎中段且患者全身状况较差，决定行部分阴茎切除术并放置耻骨上导尿管。由于越来越多的证据表明存在与COVID-19相关的血栓形成表现，我们建议制定针对COVID-19感染患者血栓性疾病的诊断和预防指南。
