Pérez Céspedes M, Tesedo Cubero X, Latorre Más F
Unidad de Urología, Hospital Consorci de Terrassa, Barcelona.
Actas Urol Esp. 1993 Sep;17(8):520-2.
Contribution of a new case of high-flow priapism as clinical expression of an arterial-cavernous fistula caused by perineal injury. The diagnostic sequence was blood gasometry by means of puncture-aspiration of the cavernous body to establish the 'high-flow' taxonomical diagnose, with negative response to the intracavernous injection of vasoactive drugs; it was followed by arteriography, showing that the clinical picture was the result of an arterial-cavernous fistula, allowing at the same time a superselective therapeutic embolization. Vascular permeability and erection recovery were confirmed by ECO-doppler at the two- month assessment.
一例高流量阴茎异常勃起作为会阴损伤所致动静脉瘘临床表现的病例报道。诊断流程为：通过海绵体穿刺抽吸进行血气分析以确立“高流量”分类诊断，海绵体内注射血管活性药物无反应；随后进行动脉造影，显示临床症状是动静脉瘘的结果，同时可行超选择性治疗性栓塞。在两个月的评估中，通过超声多普勒证实了血管通透性和勃起功能的恢复。
