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Review
. 2017;19(4):273-277.
doi: 10.3909/riu0768.

Cycling Trauma as a Cause of Arterial Priapism in Children and Teenagers

Aldo Franco De Rose  1 , Irene Paraboschi  2 , Guglielmo Mantica  1   3 , Alexander Szpytko  3 , Hilgard Ackermann  3 , Giovanni De Caro  4 , Carlo Terrone  1 , Girolamo Mattioli  2
Affiliations
Review

Cycling Trauma as a Cause of Arterial Priapism in Children and Teenagers

Aldo Franco De Rose et al. Rev Urol. 2017.

Abstract

Bicycle riding has multiple beneficial cardiovascular effects; however, it is a well-documented source of significant urologic injuries. Priapism is a rare condition in children, and occurs primarily because of congenital hematologic diseases or adverse drug reactions. A pediatric clinical case and literature review of a high-flow priapism secondary to cycling trauma is described here to highlight their etiopathologic correlation. Bicycle riding trauma is a rare but possible cause of high-flow priapism in children, and a high index of suspicion should ensure appropriate management.

Keywords: Cycling; Pediatric; Priapism; Trauma.

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Figures

Figure 1.
Figure 1.
Selective arteriography of the right and left pudendal artery. A post-traumatic arteriolacunar fistula is easily visible in a contrastographic blush area to the left.
Figure 2.
Figure 2.
Panoramic arteriography after embolization with an absorbable hemostatic gelatin sponge proximal to the arteriolacunar fistula.
See this image and copyright information in PMC

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