EURORAD ESR

Case 13075

Endovascular treatment of a post-traumatic priapism case

Author(s)
Pedro Pereira1, Pedro Sousa2

1Instituto Português de Oncologia de Lisboa Francisco Gentil, Lisboa, Portugal.
2Centro Hospitalar de São João, Porto, Portugal
 
Patient
male, 45 year(s)
 
 
  • Figure 1
    Consecutive frames from a distal aortic digital subtraction angiogram (DSA)
     

    Left arterio-cavernous fistula (circle) originating from the left cavernosal artery (black arrow). Large white arrows: Internal pudendal artery; White arrowhead: Perineal scrotal artery; Thin white arrow: Penile...

     
    Area of Interest: Interventional vascular; Imaging Technique: Catheter arteriography; Procedure: Embolisation; Special Focus: Fistula;

    Left arterio-cavernous fistula (circle) originating from the left cavernosal artery (black arrow). Large white arrows: Internal pudendal artery; White arrowhead: Perineal scrotal artery; Thin white arrow: Penile...

     
    Area of Interest: Interventional vascular; Imaging Technique: Catheter arteriography; Procedure: Embolisation; Special Focus: Fistula;

    Left arterio-cavernous fistula (circle) originating from the left cavernosal artery (black arrow). Large white arrows: Internal pudendal artery; White arrowhead: Perineal scrotal artery; Thin white arrow: Penile...

     
    Area of Interest: Interventional vascular; Imaging Technique: Catheter arteriography; Procedure: Embolisation; Special Focus: Fistula;
     
     
  • Figure 2
    Selective left internal iliac DSA

    No collateral branches feeding the fistula (circle) are identifiable. Black arrow: Cavernosal artery; Large white arrows: Internal pudendal artery; White arrowhead: Perineal scrotal artery; Thin white arrow: Penile...

     
    Area of Interest: Interventional vascular; Imaging Technique: Catheter arteriography; Procedure: Embolisation; Special Focus: Fistula;
     
     
  • Figure 3
    Superselective left cavernosal artery DSA
     

    Superselective left cavernosal artery (black arrow) DSA prior to embolization with sponge gel. Circle: Fistula.

     
    Area of Interest: Interventional vascular; Imaging Technique: Catheter arteriography; Procedure: Embolisation; Special Focus: Fistula;

    After embolization: Contrast reflux into and patency of the left dorsal artery of penis (black arrowhead), left penile artery (thin white arrow) and left perineal scrotal artery (white arrowhead).

     
    Area of Interest: Interventional vascular; Imaging Technique: Catheter arteriography; Procedure: Embolisation; Special Focus: Fistula;

    After embolization: Only a slight blush is seen at the site of the fistula (circle) a few minutes after embolization.

     
    Area of Interest: Interventional vascular; Imaging Technique: Catheter arteriography; Procedure: Embolisation; Special Focus: Fistula;
     
     
Left arterio-cavernous fistula (circle) originating from the left cavernosal artery (black arrow). Large white arrows: Internal pudendal artery; White arrowhead: Perineal scrotal artery; Thin white arrow: Penile artery; Black arrowhead: Dorsal artery of penis.
 
Left arterio-cavernous fistula (circle) originating from the left cavernosal artery (black arrow). Large white arrows: Internal pudendal artery; White arrowhead: Perineal scrotal artery; Thin white arrow: Penile artery; Black arrowhead: Dorsal artery of penis.
 
Left arterio-cavernous fistula (circle) originating from the left cavernosal artery (black arrow). Large white arrows: Internal pudendal artery; White arrowhead: Perineal scrotal artery; Thin white arrow: Penile artery; Black arrowhead: Dorsal artery of penis.
 
No collateral branches feeding the fistula (circle) are identifiable. Black arrow: Cavernosal artery; Large white arrows: Internal pudendal artery; White arrowhead: Perineal scrotal artery; Thin white arrow: Penile artery; Black arrowhead: Dorsal artery of penis.
 
Superselective left cavernosal artery (black arrow) DSA prior to embolization with sponge gel. Circle: Fistula.
 
After embolization: Contrast reflux into and patency of the left dorsal artery of penis (black arrowhead), left penile artery (thin white arrow) and left perineal scrotal artery (white arrowhead).
 
After embolization: Only a slight blush is seen at the site of the fistula (circle) a few minutes after embolization.
 
 
 
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