Cocaine intoxication resulting in ischemic priapism:
a case report and literature review
DOI:
https://doi.org/10.54143/jbmede.v4i3.129Keywords:
Ischemic priapism, cocaine intoxication, case reportAbstract
This work presents a case report on ischemic priapism in a 33-year-old patient, an illicit substance user, who started experiencing priapism hours after using cocaine. A dorsal nerve block was performed with 2% lidocaine and two punctures were performed in each of the cavernous sinuses, draining approximately 54 mL of blood. Afterwards, intracavernous etilefrine was administered. The patient was kept under observation, remaining with priapism for approximately 48 hours, with a poor response to intracavernous medications. Blood gas analysis of the corpus cavernosum and penile ultrasound with Doppler confirmed the diagnosis of ischemic priapism, and the patient underwent surgical treatment, with an Al- Ghorab distal penile gland cavernous shunt. The surgery was uneventful, and the patient evolved well, with relief from pain and significant improvement in penile edema. A literary review was also carried out by searching the keywords “ischemic priapism”, “case report” and “cocaine abuse” on the Google Scholar and PubMed® platforms. After this analysis, it was possible to identify cocaine as responsible for the ischemic priapism in a substance user patient.
References
1. Maddukuri G. Priapismo. Manual MSD. 2022 [citado 2024 Ago
2]. Disponível em: https://www.msdmanuals.com/pt/profissional/
distúrbios-geniturinários/sintomas-de-doenças-genitourinárias/
priapismo
2. Brasil. Ministério da Saúde. Secretaria de Atenção à Saúde.
Departamento de Ações Programáticas e Estratégicas. Saúde
Sexual e Saúde Reprodutiva: os homens como sujeitos de
cuidado. Brasília, DF: Ministério da Saúde; 2018 [citado 2024 Ago
2]. Disponível em: https://bvsms.saude.gov.br/bvs/publicacoes/
saude_sexual_reprodutiva_homens_cuidado.pdf
3. Moore KL, Dalley AF, Agur AM. Anatomia orientada para a clínica.
Rio de Janeiro: Guanabara Koogan; 2019.
4. Lamamri M, Chebbi A, Mamane J, Abbad S, Munuzzolini M,
Sarfati F, et al. Priapism in a patient with coronavirus disease
2019 (COVID-19). Am J Emerg Med. 2021;39:251.e5-251.e7.
5. Deveci S. Priapism. 2024 [cited 2024 Aug 2]. Available from:
https://www.uptodate.com/contents/priapism?search=pria
pismo&source=search_result&selectedTitle=1~150&usage_
type=default&display_rank=1#H2
6. Coelho HR. Priapismo por drogas: relato de caso. Arq Catarin
Med. 2022;50(3).
Published
How to Cite
Issue
Section
Categories
License
Copyright (c) 2024 Brazilian Journal of Emergency Medicine
This work is licensed under a Creative Commons Attribution 4.0 International License.