Ischemic Priapism Associated with Essential Thrombocythemia : A Case Report

A 71-year-old man visited a local urologist with the complaint of continuous painful erection for three days. Penile cavernosal blood data showed acidosis and hypoxia. Thus he was diagnosed with ischemic priapism. After penile aspiration and injection of phenylephrine, erection was temporary improve...

Ausführliche Beschreibung

Bibliographische Detailangaben
Veröffentlicht in:Hinyokika kiyo. Acta urologica Japonica. - 1962. - 65(2019), 7 vom: 13. Juli, Seite 315-317
1. Verfasser: Matsumoto, Yuki (VerfasserIn)
Weitere Verfasser: Amano, Toshiyasu, Shimojima, Yuji, Imao, Tetsuya, Kato, Haruaki
Format: Online-Aufsatz
Sprache:Japanese
Veröffentlicht: 2019
Zugriff auf das übergeordnete Werk:Hinyokika kiyo. Acta urologica Japonica
Schlagworte:Case Reports Journal Article Phenylephrine 1WS297W6MV
Beschreibung
Zusammenfassung:A 71-year-old man visited a local urologist with the complaint of continuous painful erection for three days. Penile cavernosal blood data showed acidosis and hypoxia. Thus he was diagnosed with ischemic priapism. After penile aspiration and injection of phenylephrine, erection was temporary improved. The blood platelet count was 94.5×104/μl and myeloproliferative disease was suspected. He was referred to our hospital and visited us the following day. Since priapism relapsed, we aspirated corpus cavernosum of the penis and injected phenylephrine which was successful. A bone marrow biopsy and genetic test were performed at the department of hematology and the diagnosis of essential thrombocythemia with JAK2 gene mutation was confirmed. By treatment with hydroxyurea, the blood platelet count decreased without priapism recurrence
Beschreibung:Date Completed 06.11.2019
Date Revised 06.11.2019
published: Print
Citation Status MEDLINE
ISSN:0018-1994
DOI:10.14989/ActaUrolJap_65_7_315