Treatment-resistant priapism associated with long-term low-molecular-weight heparin.
BMJ Case Rep
; 14(4)2021 Apr 01.
Article
en En
| MEDLINE
| ID: mdl-33795288
ABSTRACT
This case report summarises the case of a 56-year-old man with low-flow, ischaemic priapism requiring urgent insertion of a penile prosthesis following prophylactic anticoagulation with tinzaparin. Low-molecular-weight heparin (LMWH) has been proposed as a cause of ischaemic priapism, although reported cases of this are rare. This particular side effect of tinzaparin has been reported once in a case report in 2018, and there are scant other reports of LMWH-induced priapism. This case was refractory to the full treatment algorithm, including multiple aspirations, phenylephrine injection, cavernosal shunt and required transfer for implantation of a penile prosthesis. Only one other case of such a severe case of priapism has been documented, involving LMWH and warfarin. Documented evidence of possible causes of priapism are vital, given the rarity of this condition, the frequency of LMWH and the potentially devastating complications.
Palabras clave
Texto completo:
1
Bases de datos:
MEDLINE
Asunto principal:
Priapismo
/
Prótesis de Pene
Tipo de estudio:
Risk_factors_studies
Límite:
Humans
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Male
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Middle aged
Idioma:
En
Revista:
BMJ Case Rep
Año:
2021
Tipo del documento:
Article
País de afiliación:
Irlanda