外伤后高流量阴茎勃起：髂外动脉海绵状动脉的旁支起源——一例报告。

IF 0.7 4区医学 Q4 PERIPHERAL VASCULAR DISEASE

Vascular and Endovascular Surgery Pub Date : 2023-10-01 Epub Date: 2023-04-25 DOI:10.1177/15385744231173195

Karan Visanji Dedhia, S Vignesh, T Mukuntharajan, N Karunakaran, Ganesh Rajagopal

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引用次数: 0

摘要

高流量阴茎异常勃起是一种罕见的情况，通常由阴茎或会阴创伤引起，原因是海绵体动脉撕裂。我们报告一例24岁男性，其表现为创伤后无痛性阴茎异常勃起。超声显示血肿伴动脉海绵窦瘘。在CT血管造影中，海绵状动脉起源于阴部副动脉，而阴部副血管起源于髂外动脉的分支上腹部下动脉（IEA）。EIA的导管血管造影显示，IEA的一个分支在阴茎底部有瘘管相通。动脉的选择性栓塞使用33%的胶水（氰基丙烯酸正丁酯）进行。栓塞后，瘘管无残余充盈，阴茎部分消肿。动脉栓塞通常是首选的高流量瘘管性勃起的第一道防线。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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Post-Traumatic High-Flow Priapism: Accessory Pudendal Origin of Cavernosal Artery From External Iliac Artery - A Case Report.

High-flow priapism is an uncommon condition typically resulting from penile or perineal trauma, due to laceration of cavernosal artery. We present a case of 24-year-old male who presented with post-traumatic painless priapism. Ultrasound showed hematoma with arterio-cavernosal fistula. On CT Angiogram, the cavernosal artery was seen arising from accessory pudendal artery, which arose from inferior epigastric artery (IEA), branch of external iliac artery (EIA). Catheter angiogram of EIA showed fistulous communication at the base of the penis from a branch of IEA. Selective embolisation of the artery was done using 33% glue (n-butyl cyanoacrylate). Post embolisation, no residual filling of the fistula and partial detumescence of penis was noted. Transarterial embolisation is usually preferred as first line of management in high-flow fistulous priapisms.

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来源期刊

Vascular and Endovascular Surgery SURGERY-PERIPHERAL VASCULAR DISEASE

CiteScore

1.70

自引率

11.10%

发文量

132

审稿时长

4-8 weeks

期刊介绍： Vascular and Endovascular Surgery (VES) is a peer-reviewed journal that publishes information to guide vascular specialists in endovascular, surgical, and medical treatment of vascular disease. VES contains original scientific articles on vascular intervention, including new endovascular therapies for peripheral artery, aneurysm, carotid, and venous conditions. This journal is a member of the Committee on Publication Ethics (COPE).