Ethylene-vinyl alcohol copolymer (Onyx®) transarterial embolization for post-traumatic high-flow priapism - Université de Bourgogne Accéder directement au contenu
Article Dans Une Revue Quantitative Imaging in Medicine and Surgery Année : 2016

Ethylene-vinyl alcohol copolymer (Onyx®) transarterial embolization for post-traumatic high-flow priapism

Résumé

We report a case of high-flow priapism treated successfully with superselective embolization of the cavernous artery. A 16-year-old male developed post-traumatic priapism subsequent to a fall causing blunt perineal trauma. He presented to our hospital four days after trauma. Immediately after the injury, he suffered painless sustained incomplete erection. High-flow priapism was diagnosed on the basis of color doppler ultrasonography findings. Computed tomography scan showed a high-flow arterio-venous fistula with feeders from branches of the right internal iliac artery. Selective arteriography of the right internal pudendal artery demonstrated an arterio-cavernous fistula. The fistula was superselectively embolized with ethylene-vinyl alcohol copolymer (Onyx (R)) liquid agent and disappeared completely. Improvement was noted, with significant detumescence on table. This was later confirmed on repeat color Doppler imaging. At follow-up 3 months later, he had normal erectile function. To our knowledge, transarterial embolization of high-flow priapism with Onyx (R) has never been reported and appears to be a safe and effective treatment for managing patients with such a condition.

Dates et versions

hal-01431435 , version 1 (10-01-2017)

Identifiants

Citer

Olivier Chevallier, Sophie Gehin, Alain Foahom-Kamwa, Pierre Pottecher, Sylvain Favelier, et al.. Ethylene-vinyl alcohol copolymer (Onyx®) transarterial embolization for post-traumatic high-flow priapism. Quantitative Imaging in Medicine and Surgery, 2016, 6 (3), pp.323 - 327. ⟨10.21037/qims.2016.06.02⟩. ⟨hal-01431435⟩
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