Document Detail

Priapism and penile gangrene due to thrombotic thrombocytopenic purpura.
MedLine Citation:
PMID:  19896177     Owner:  NLM     Status:  MEDLINE    
A 51-year-old man presented with 4 days of idiopathic ischemic priapism. Partial detumescence was achieved with aspiration and injection with intracorporeal adrenaline. On further evaluation, the patient was diagnosed with thrombotic thrombocytopenic purpura. This was treated with plasma exchange and steroids. The penis was initially observed for 3 weeks, which subsequently became necrotic and infected, requiring debridement. After debridement of penile shaft skin, it became apparent that the entire penis was necrotic, necessitating total penectomy. The wound was closed secondarily 2 weeks later. Gangrene of the penis after priapism is very rare. Priapism associated with thrombotic thrombocytopenic purpura has not been reported previously in published data.
Benjamin Kwok; Celi Varol
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Publication Detail:
Type:  Case Reports; Journal Article     Date:  2009-11-06
Journal Detail:
Title:  Urology     Volume:  75     ISSN:  1527-9995     ISO Abbreviation:  Urology     Publication Date:  2010 Jan 
Date Detail:
Created Date:  2010-01-29     Completed Date:  2010-02-22     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  0366151     Medline TA:  Urology     Country:  United States    
Other Details:
Languages:  eng     Pagination:  71-2     Citation Subset:  IM    
Copyright Information:
Crown Copyright 2010. Published by Elsevier Inc. All rights reserved.
Nepean Private Hospital, Kingswood NSW.
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MeSH Terms
Gangrene / etiology
Middle Aged
Penis / pathology*
Priapism / etiology*
Purpura, Thrombotic Thrombocytopenic / complications*

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine

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