Ischemic Priapism Progressing to Penile Gangrene in a Patient with COVID-19 Infection: A Case Report with Literature Review

Priapism is considered a rare disorder and even more rare when it occurs as a complication of COVID-19. To the best of our knowledge, only eight studies have reported priapism as a complication of COVID-19. Here, we report the case of a 66-year-old male with COVID-19 who presented with neglected pri...

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Main Authors: Saad M. Alsaedi, Rakan M. Alsarwani, Ahmed I. Ali, Saleem A. Aladhrai
Format: Article
Language:English
Published: Wiley 2022-01-01
Series:Case Reports in Medicine
Online Access:http://dx.doi.org/10.1155/2022/8408216
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author Saad M. Alsaedi
Rakan M. Alsarwani
Ahmed I. Ali
Saleem A. Aladhrai
author_facet Saad M. Alsaedi
Rakan M. Alsarwani
Ahmed I. Ali
Saleem A. Aladhrai
author_sort Saad M. Alsaedi
collection DOAJ
description Priapism is considered a rare disorder and even more rare when it occurs as a complication of COVID-19. To the best of our knowledge, only eight studies have reported priapism as a complication of COVID-19. Here, we report the case of a 66-year-old male with COVID-19 who presented with neglected priapism for three days. On local examination, penile erection was apparent in association with blackened areas on the glans penis extending to the midpenile shaft denoting penile gangrene. A clear line of demarcation was noticed at the midpenile shaft. Penile duplex was performed, showing no blood flow in both cavernosal arteries. Penile aspiration was performed, and the cavernosal blood sample showed evidence of ischemic priapism. Given the presence of penile gangrene extending to the midshaft of the penis and the poor general condition of the patient, the decision was made to perform partial penectomy and suprapubic tube placement. We recommend the establishment of a guideline for the diagnosis and prevention of thrombotic diseases in patients with COVID-19 infection as there is increasing evidence of COVID-19-related thrombotic manifestations.
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institution Kabale University
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spelling doaj-art-1edda1fef1ce4381ab3fa5ff1e09389b2025-02-03T07:23:56ZengWileyCase Reports in Medicine1687-96352022-01-01202210.1155/2022/8408216Ischemic Priapism Progressing to Penile Gangrene in a Patient with COVID-19 Infection: A Case Report with Literature ReviewSaad M. Alsaedi0Rakan M. Alsarwani1Ahmed I. Ali2Saleem A. Aladhrai3College of MedicineCollege of MedicineDepartment of UrologyDepartment of Emergency MedicinePriapism is considered a rare disorder and even more rare when it occurs as a complication of COVID-19. To the best of our knowledge, only eight studies have reported priapism as a complication of COVID-19. Here, we report the case of a 66-year-old male with COVID-19 who presented with neglected priapism for three days. On local examination, penile erection was apparent in association with blackened areas on the glans penis extending to the midpenile shaft denoting penile gangrene. A clear line of demarcation was noticed at the midpenile shaft. Penile duplex was performed, showing no blood flow in both cavernosal arteries. Penile aspiration was performed, and the cavernosal blood sample showed evidence of ischemic priapism. Given the presence of penile gangrene extending to the midshaft of the penis and the poor general condition of the patient, the decision was made to perform partial penectomy and suprapubic tube placement. We recommend the establishment of a guideline for the diagnosis and prevention of thrombotic diseases in patients with COVID-19 infection as there is increasing evidence of COVID-19-related thrombotic manifestations.http://dx.doi.org/10.1155/2022/8408216
spellingShingle Saad M. Alsaedi
Rakan M. Alsarwani
Ahmed I. Ali
Saleem A. Aladhrai
Ischemic Priapism Progressing to Penile Gangrene in a Patient with COVID-19 Infection: A Case Report with Literature Review
Case Reports in Medicine
title Ischemic Priapism Progressing to Penile Gangrene in a Patient with COVID-19 Infection: A Case Report with Literature Review
title_full Ischemic Priapism Progressing to Penile Gangrene in a Patient with COVID-19 Infection: A Case Report with Literature Review
title_fullStr Ischemic Priapism Progressing to Penile Gangrene in a Patient with COVID-19 Infection: A Case Report with Literature Review
title_full_unstemmed Ischemic Priapism Progressing to Penile Gangrene in a Patient with COVID-19 Infection: A Case Report with Literature Review
title_short Ischemic Priapism Progressing to Penile Gangrene in a Patient with COVID-19 Infection: A Case Report with Literature Review
title_sort ischemic priapism progressing to penile gangrene in a patient with covid 19 infection a case report with literature review
url http://dx.doi.org/10.1155/2022/8408216
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AT ahmediali ischemicpriapismprogressingtopenilegangreneinapatientwithcovid19infectionacasereportwithliteraturereview
AT saleemaaladhrai ischemicpriapismprogressingtopenilegangreneinapatientwithcovid19infectionacasereportwithliteraturereview