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Case Reports
. 2021 Jan:39:251.e5-251.e7.
doi: 10.1016/j.ajem.2020.06.027. Epub 2020 Jun 18.

Priapism in a patient with coronavirus disease 2019 (COVID-19)

Myriam Lamamri  1 , Ala Chebbi  2 , Jordan Mamane  3 , Sofia Abbad  1 , Milena Munuzzolini  3 , Florence Sarfati  1 , Stéphane Legriel  4
Affiliations
Case Reports

Priapism in a patient with coronavirus disease 2019 (COVID-19)

Myriam Lamamri et al. Am J Emerg Med. 2021 Jan.

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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Conflict of interest statement

Declaration of Competing Interest None to disclose.

References

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