scholarly journals Selective arterial embolization for a high-flow priapism following perineal trauma in a young gymnast

2018 ◽  
Vol 90 (3) ◽  
pp. 218-219
Author(s):  
Grazia Bianchi ◽  
Camilla Sachs ◽  
Irene Campo ◽  
Giovanni Liguori ◽  
Carlo Trombetta
Keyword(s):  
Pediatric Patients ◽  
Corpus Cavernosum ◽  
Arterial Embolization ◽  
Rare Condition ◽  
High Flow ◽  
Perineal Trauma ◽  
Internal Pudendal Artery ◽  
Selective Embolization ◽  
Selective Arterial Embolization ◽  
The Right

Introduction. High-flow priapism is a rare condition in children, usually due to a perineal trauma. Materials and methods. We present a case of traumatic highflow priapism investigated by Doppler ultrasound and managed by angiography and selective embolization of a branch of the internal pudendal artery. Results. A 13-year-old gymnast underwent perineal trauma during training and developed a high-flow priapism. The first ultrasound (immediately after the trauma) showed the presence of an inhomogeneous area of 3 x 2 cm associated with an anechoic vascularized area (pseudoaneurysm) in the right corpus cavernosum. On the left side there was a similar finding, but of smaller size. After 3 weeks the pseudoaneurysm on the left was completely obliterated while the right one was still present. Angiography and superselective catheterization of a branch of the left pudendal artery and its embolization with microspheres and with metal microcoils were performed. After the procedure, ultrasound showed that the right pseudoaneurysm was completely obliterated and there were no more branches reaching it. The cavernous arteries were both pervious. Conclusions. Selective arterial embolization is a safe treatment that can also be used in pediatric patients.

scholarly journals Endovascular Embolization of Posttraumatic High-Flow Priapism: Uncommon Arteriovenous Fistula of the Corpus Cavernosum

2021 ◽  
Author(s):  
Maarten J. Otten ◽  
Lotte Zuur ◽  
Jasper Florie ◽  
Bart van Bezooijen
Keyword(s):  
Arteriovenous Fistula ◽  
Corpus Cavernosum ◽  
Arterial Embolization ◽  
Endovascular Embolization ◽  
High Flow ◽  
High Rate ◽  
Embolic Agent ◽  
Selective Embolization ◽  
Case Presentation

Abstract Background priapism is a persistent penile erection lasting more than four hours without sexual arousal or stimulation. Non-ischemic high-flow priapism is an uncommon finding. Case presentation: we report on a high-flow priapism, an uncommon arteriovenous fistula of the corpus cavernosum after a straddle trauma which was successfully treated by super selective trans-arterial embolization using a temporary embolic agent. At follow up no recurrent episodes of priapism occurred without symptoms of erectile dysfunction or other complications. Conclusion Super selective embolization has a high rate of technical success with preservation of erectile function in this case without complications.

scholarly journals Dieulafoy’s disease of the bronchial tree: a case report

2017 ◽  
Vol 135 (4) ◽  
pp. 396-400 ◽  
Author(s):  
Massoud Baghai Wadji ◽  
Athena Farahzadi
Keyword(s):  
Case Report ◽  
Lung Resection ◽  
Lower Lobe ◽  
Fiberoptic Bronchoscopy ◽  
Arterial Embolization ◽  
Bronchial Tree ◽  
Massive Hemoptysis ◽  
Selective Embolization ◽  
Dieulafoy’S Disease ◽  
The Right

ABSTRACT CONTEXT: Dieulafoy’s disease of the bronchial tree is a very rare condition. Few cases have been reported in the literature. It can be asymptomatic or manifest with massive hemoptysis. This disease should be considered among heavy smokers when recurrent massive hemoptysis is present amid otherwise normal findings. The treatment can be arterial embolization or surgical intervention. CASE REPORT: A 16-year-old girl was admitted to the emergency department due to hemoptysis with an unknown lesion in the bronchi. She had suffered massive hemoptysis and respiratory failure one week before admission. Fiberoptic bronchoscopy revealed a lesion in the bronchus of the right lower lobe, which was suspected to be a Dieulafoy lesion. Segmentectomy of the right lower lobe and excision of the lesion was carried out. The outcome for this patient was excellent. CONCLUSION: Dieulafoy’s disease is a rare vascular anomaly and it is extremely rare in the bronchial tree. In bronchial Dieulafoy’s disease, selective embolization has been suggested as a method for cessation of bleeding. Nevertheless, standard anatomical lung resection is a safe and curative alternative.

Case Report: Total Nephrectomy for Renal Hydatidosis

2021 ◽  
Author(s):  
Gustavo Hernández-Córdova ◽  
Virgilio E. Failoc-Rojas ◽  
Rigel Tarco ◽  
Sebastian Iglesias-Osores ◽  
Franco Romaní
Keyword(s):  
Back Pain ◽  
Case Report ◽  
Early Detection ◽  
Pediatric Patients ◽  
Therapeutic Option ◽  
Rare Condition ◽  
Gross Hematuria ◽  
Lower Back ◽  
The Right ◽  
Total Nephrectomy

Cystic echinococcosis, known as hydatidosis, is a parasitic zoonosis caused by the larvae of Echinococcus granulosus. Renal hydatidosis is a very rare condition, representing 1% to 2% of cases. We present an 18-year-old patient who, after suffering a trauma, experienced severe lower back pain and persistent gross hematuria disproportionate to the trauma. Ultrasonography and tomography revealed cystic images compatible with right renal hydatidosis and hemoperitoneum. In addition, rapid clinical deterioration was observed with decreased hematocrit, leading to lumpectomy with abundant cysts inside and outside the right kidney, without viable parenchyma. Therefore, a total nephrectomy was performed. The patient was discharged with albendazole treatment. Pathological anatomic analysis confirmed the diagnosis of hydatidosis. Surgery remains the best therapeutic option. The use of ultrasonography improves the early detection of zoonosis, especially in pediatric patients, and favors the use of more conservative therapeutic techniques.

Bilateral uterine artery embolization for the management of bilateral uterine artery pseudoaneurysm during puerperium: A case report

2021 ◽  
Vol 10 (1) ◽  
pp. 22-23
Author(s):  
Sally Damra Elnour Mohammed ◽  
Mohammed Khidir Tayfor ◽  
Isra Mutasim Hamad ◽  
Mashaar Osama
Keyword(s):  
Ct Angiography ◽  
Uterine Artery ◽  
Delayed Diagnosis ◽  
Arterial Embolization ◽  
Bleeding Events ◽  
Selective Embolization ◽  
Artery Pseudoaneurysm ◽  
Life Threatening ◽  
The Right ◽  
Uterine Artery Pseudoaneurysm

Background: Uterine artery Pseudoaneurysm is a rare cause of secondary postpartum hemorrhage (PPH) and can develop after various gynecological or obstetric procedures. The delayed diagnosis of such cases often results in life threatening situations. We report a rare case of bilateral uterine artery pseudoaneurysm that led to life threatening secondary PPH after Caesarean section in a patient who had several Caesarean sections before. Case description: A 35 years old multiparus women, who had all her four deliveries by Caesarean sections, presented with recurrent massive attacks of secondary PPH 35ays after her last delivery. Rupture of aneurysm of the uterine artery was suspected and CT angiography showed that the left uterine artery seemed more dilated and was probably the source of the PPH. The bleeding site was successfully tackled by selective arterial embolization. About three weeks later the patient presented again with severe recurrence of PPH. Repeat of CT angiography showed that the source was the right uterine artery this time, which was again selectively embolized. No further bleeding events occurred up to two years follow-up. Conclusion: Rupture of aneurysm of the uterine artery can be a life-threatening condition. Clinical suspicion is essential for a prompt diagnosis Definitive diagnosis can be achieved by CT-angiography. Treatment by selective embolization can effectively stop the bleeding.

scholarly journals Successful use of cinacalcet to treat parathyroid-related hypercalcemia in two pediatric patients

2018 ◽  
Vol 2018 ◽  
Author(s):  
E Mogas ◽  
A Campos-Martorell ◽  
M Clemente ◽  
L Castaño ◽  
A Moreno-Galdó ◽  
...  
Keyword(s):  
Pediatric Patients ◽  
Receptor Gene ◽  
Gene Mutations ◽  
Rare Condition ◽  
List Type ◽  
Calcium Sensing Receptor ◽  
Calcium Sensing ◽  
Severe Hypercalcemia ◽  
The Right ◽  
Learning Points

Summary Two pediatric patients with different causes of hyperparathyroidism are reported. First patient is a 13-year-old male with severe hypercalcemia due to left upper parathyroid gland adenoma. After successful surgery, calcium and phosphate levels normalized, but parathormone levels remained elevated. Further studies revealed a second adenoma in the right gland. The second patient is a 13-year-old female with uncommon hypercalcemia symptoms. Presence of pathogenic calcium-sensing receptor gene (CASR) mutation was found, resulting in diagnosis of symptomatic familial hypocalciuric hypercalcemia. Cinacalcet, a calcium-sensing agent that increases the sensitivity of the CASR, was used in both patients with successful results. Learning points: Hyperparathyroidism is a rare condition in pediatric patients. If not treated, it can cause serious morbidity. Genetic tests searching for CASR or MEN1 gene mutations in pediatric patients with primary hyperparathyroidism should be performed. Cinacalcet has been effective for treating different causes of hyperparathyroidism in our two pediatric patients. Treatment has been well tolerated and no side effects have been detected.

Recurrent Hemoptysis: A Bronchial Dieulafoy’s Lesion in a Pediatric Patient

2020 ◽  
pp. 000348942096213
Author(s):  
Jeremy S. Ruthberg ◽  
Anish Abrol ◽  
N. Scott Howard
Keyword(s):  
Differential Diagnosis ◽  
Case Report ◽  
Pediatric Patient ◽  
Pediatric Patients ◽  
Stable Condition ◽  
Selective Embolization ◽  
Dieulafoy’S Lesion ◽  
Tertiary Center ◽  
Pediatric Pulmonology ◽  
The Right

Objective: This paper presents a case of a bronchial Dieulafoy’s lesion in a pediatric patient with recurrent hemoptysis. Case report: A 11-year old female presented multiple times with dry cough and hemoptysis to an outside hospital, each time leading to a diagnosis of epistaxis and subsequent discharge. When she arrived to our tertiary center with heavy hemoptysis and no evidence of epistaxis, the patient was urgently taken to the operating room by both the otolaryngology and pediatric pulmonology services. Active bleeding from a Dieulafoy’s lesion on the right lower bronchus was found and selective embolization of two tortuous arteries was subsequently performed. The patient was discharged in stable condition without recurrence of hemoptysis over the last two months. Conclusion: While rare, especially in pediatric patients, bronchial Dieulafoy’s lesions may cause severe hemoptysis and should be considered in the differential diagnosis when the etiology for hemoptysis is unclear.

Priapismo ad Alto Flusso: Diagnosi e Terapia. Descrizione di un Caso

1994 ◽  
Vol 61 (1_suppl) ◽  
pp. 110-113
Author(s):  
A.F. De Rose ◽  
G. De Caro ◽  
S. Scotto ◽  
G.F. Oppezzi ◽  
G. Cittadini ◽  
...  
Keyword(s):  
Spontaneous Recovery ◽  
Corpus Cavernosum ◽  
High Flow ◽  
Sexual Relations ◽  
Patient Reported ◽  
The Right

We report a case of high flow priapism observed last year. The diagnosis was essentially made through anamnesis (trauma) and echography. Afterwards superselective arteriography of the pudenda right artery showed an afferent branch to the right corpus cavernosum and the artero-cavernosum fistula. After the catheterisation of this branch, using a Berenstein 5 F catheter, we proceded with the injection of non-absorbable embolising material. The echoDoppler emphasised disappearance of the biphasic flow and after 30 days the patient reported the spontaneous recovery in sexual relations. The corpus cavernosum biopsy, done 3 months later, showed a fair fibrosis.

scholarly journals Recurrent idiopathic high-flow priapism treated with selective arterial embolization after repeated initial treatments for low-flow priapism

2013 ◽  
Vol 3 (1) ◽  
pp. 60 ◽  
Author(s):  
Christopher J.D. Wallis ◽  
Nathan Hoag ◽  
Peter J. Pommerville ◽  
Michael E. Huk
Keyword(s):  
Corpus Cavernosum ◽  
Arterial Embolization ◽  
High Flow ◽  
Low Flow ◽  
Penile Artery ◽  
Successful Resolution ◽  
Service Des Urgences ◽  
Cas A ◽  
Recurrent Priapism ◽  
Bas Débit

High-flow priapism is most often seen following perineal andpenile trauma. We report the case of a 32-year-old man whopresented with recurrent idiopathic priapism initially treated aslow-flow priapism on 8 previous emergency department visits.Pelvic angiography revealed an abnormal communication betweenthe left cavernosal artery and the left corpus cavernosum andled to the diagnosis of high-flow priapism. Treatment involvedembolization of the left common penile artery, which resultedin successful resolution of the recurrent priapism. Our patient’scase highlights the importance of an appropriate work-up, includingimaging, to distinguish high- and low-flow priapism and toprovide appropriate care.Le priapisme à haut débit est le plus souvent observé après untraumatisme périnéal et pénien. Nous décrivons le cas d’un hommede 32 ans atteint de priapisme idiopathique récurrent traité audépart comme un priapisme à bas débit lors de 8 visites antérieuresau service des urgences. Une angiographie pelvienne a révéléun passage anormal entre l’artère caverneuse gauche et le corpscaverneux gauche et a mené au diagnostic de priapisme à hautdébit. Un traitement par embolisation de l’artère pénienne gauchea été réalisé, entraînant la disparition complète du priapisme récurrent.Ce cas illustre l’importance d’une analyse approfondie, notammentà l’aide d’épreuves d’imagerie, afin de distinguer les cas àhaut débit des cas à bas débit et de choisir les soins appropriés.

scholarly journals HIGH FLOW PRIAPISM AFTER PERINEAL TRAUMA, SUCCESSFULLY TREATED BY UNILATERAL EMBOLIZATION OF THE INTERNAL PUDENDAL ARTERY

1995 ◽  
Vol 86 (2) ◽  
pp. 333-336
Author(s):  
Morimasa Kuwahara ◽  
Nobuta Fujisaki ◽  
Kouji Nakamura ◽  
Kazumichi Ohta ◽  
Masaaki Nishitani ◽  
...  
Keyword(s):  
High Flow ◽  
Perineal Trauma ◽  
Internal Pudendal Artery

A case of a high-flow priapism treated with superselective transcatheter embolization

2021 ◽  
pp. 039156032110161
Author(s):  
Basri Cakiroglu ◽  
Cevdet Kaya ◽  
Suleyman Hilmi Aksoy
Keyword(s):  
Drug Therapy ◽  
Conservative Treatment ◽  
Blunt Trauma ◽  
Rare Condition ◽  
Transcatheter Embolization ◽  
High Flow ◽  
Selective Embolization ◽  
Inflammatory Drug ◽  
Anti Inflammatory ◽  
Cavernous Body

High-flow priapism is a rare condition characterized by prolonged and painless erection. It is defined as contusion or thrombosis of the cavernous body of the penis usually secondary to blunt trauma. Due to the rarity of the disease, there is no well-defined consensus about treatment. Conservative treatment is often applied with non-steroidal anti-inflammatory drug. We present a case of 58-year-old man with proximal partial priapism that developed secondary to blunt trauma to the penis. The patient did not benefit from non-steroidal anti-inflammatory drug therapy and then was successfully treated with selective embolization.

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