Post traumatic penile arteriovenous fistula with high flow priapism

Diagnosis certain

Presentation

30 years old male presented complaining of pain in the genital area following a blunt perineal trauma 20 days ago, the patient reported painless priapism and difficult micturition.

Patient Data

Age: 30

Gender: Male

From the case: Post traumatic penile arteriovenous fistula with high flow priapism

Ultrasound

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Transverse

Penile Doppler examination revealed:

the right corpora cavernosa shows a dilated vascular lake with turbulent flow and high flow velocity suggestive of arteriovenous fistula
the right cavernosal artery shows high peak systolic velocity , PSV = 47 cm/sec

Case Discussion

High flow priapism is a rare type of priapism, and usually occurs several days or weeks after penile or perineal trauma with formation of an arterio-cavernosal fistula.