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Am J Emerg Med . Priapism in a patient with coronavirus disease 2019 (COVID-19): A case report

tetano

Editor, Senior Moderator
Am J Emerg Med


. 2020 Jun 18;S0735-6757(20)30514-3.
doi: 10.1016/j.ajem.2020.06.027. Online ahead of print.
Priapism in a patient with coronavirus disease 2019 (COVID-19): A case report


Myriam Lamamri[SUP] 1 [/SUP], Ala Chebbi[SUP] 2 [/SUP], Jordan Mamane[SUP] 3 [/SUP], Sofia Abbad[SUP] 1 [/SUP], Milena Munuzzolini[SUP] 3 [/SUP], Florence Sarfati[SUP] 1 [/SUP], St?phane Legriel[SUP] 4 [/SUP]



Affiliations

Abstract

Thromboembolic complications related to SARS-CoV-2 have been extensively reported. They include deep vein thrombosis, pulmonary embolism, ischemic stroke, and acute coronary syndrome. Penile thrombosis has not been reported as a thrombotic complication of SARS-CoV-2 infection with hypercoagulability. Here we describe a case of priapism as a thromboembolic complication in a patient with COVID-19 who recovered from acute respiratory distress syndrome (ARDS). We discuss the underlying pathophysiological mechanisms mainly related to an hypercoagulability state. Emergency management consisted on an intracavernosal injection of the sympathomimetic agent ethylephrine and cavernosal blood aspiration. The patient experienced no recurrences under thromboprophylaxis by enoxaparin 40 mg twice daily.
 
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