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A Case Report of Priapism With Unusual Presentation and Clinical Course

This is a case report on a patient with an unusual presentation and clinical course of priapism. It further discusses treatment options with reflection on current literatures and guidelines. 48 year old patient presented with a history of more than 50 episodes of priapism, each lasting for five minu...

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Autores principales: Zhong, Wenjie, Jina, Hamesh, Rathore, Prem, Wong, Eddy Lee Hao, Mancuso, Pascal, Lalak, Nestor, Hayden, Lawrence, Haghighi, Kayvan
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Elsevier 2017
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5377290/
https://www.ncbi.nlm.nih.gov/pubmed/28377890
http://dx.doi.org/10.1016/j.eucr.2017.03.009
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author Zhong, Wenjie
Jina, Hamesh
Rathore, Prem
Wong, Eddy Lee Hao
Mancuso, Pascal
Lalak, Nestor
Hayden, Lawrence
Haghighi, Kayvan
author_facet Zhong, Wenjie
Jina, Hamesh
Rathore, Prem
Wong, Eddy Lee Hao
Mancuso, Pascal
Lalak, Nestor
Hayden, Lawrence
Haghighi, Kayvan
author_sort Zhong, Wenjie
collection PubMed
description This is a case report on a patient with an unusual presentation and clinical course of priapism. It further discusses treatment options with reflection on current literatures and guidelines. 48 year old patient presented with a history of more than 50 episodes of priapism, each lasting for five minutes. Patient had history of brain tumor that was resected and had since been in remission. On examination and further biochemistry assessment revealed conflicting clinical findings, making it difficult to ascertain the type of priapism in this case. The patient, however, recovered from the acute attacks of priapism after 24 hours of conservative management and no obvious cause had been identified on post-discharge follow-up. Priapism, despite being rare, is a medical emergency. This case report reflected upon the limitations of treatment guidelines and the lack of level one evidence to support treatment decisions.
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spelling pubmed-53772902017-04-04 A Case Report of Priapism With Unusual Presentation and Clinical Course Zhong, Wenjie Jina, Hamesh Rathore, Prem Wong, Eddy Lee Hao Mancuso, Pascal Lalak, Nestor Hayden, Lawrence Haghighi, Kayvan Urol Case Rep Functional Medicine This is a case report on a patient with an unusual presentation and clinical course of priapism. It further discusses treatment options with reflection on current literatures and guidelines. 48 year old patient presented with a history of more than 50 episodes of priapism, each lasting for five minutes. Patient had history of brain tumor that was resected and had since been in remission. On examination and further biochemistry assessment revealed conflicting clinical findings, making it difficult to ascertain the type of priapism in this case. The patient, however, recovered from the acute attacks of priapism after 24 hours of conservative management and no obvious cause had been identified on post-discharge follow-up. Priapism, despite being rare, is a medical emergency. This case report reflected upon the limitations of treatment guidelines and the lack of level one evidence to support treatment decisions. Elsevier 2017-03-31 /pmc/articles/PMC5377290/ /pubmed/28377890 http://dx.doi.org/10.1016/j.eucr.2017.03.009 Text en © 2017 The Authors http://creativecommons.org/licenses/by-nc-nd/4.0/ This is an open access article under the CC BY-NC-ND license (http://creativecommons.org/licenses/by-nc-nd/4.0/).
spellingShingle Functional Medicine
Zhong, Wenjie
Jina, Hamesh
Rathore, Prem
Wong, Eddy Lee Hao
Mancuso, Pascal
Lalak, Nestor
Hayden, Lawrence
Haghighi, Kayvan
A Case Report of Priapism With Unusual Presentation and Clinical Course
title A Case Report of Priapism With Unusual Presentation and Clinical Course
title_full A Case Report of Priapism With Unusual Presentation and Clinical Course
title_fullStr A Case Report of Priapism With Unusual Presentation and Clinical Course
title_full_unstemmed A Case Report of Priapism With Unusual Presentation and Clinical Course
title_short A Case Report of Priapism With Unusual Presentation and Clinical Course
title_sort case report of priapism with unusual presentation and clinical course
topic Functional Medicine
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5377290/
https://www.ncbi.nlm.nih.gov/pubmed/28377890
http://dx.doi.org/10.1016/j.eucr.2017.03.009
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