Priapism in a patient with sickle cell trait using marijuana

Abhishek Matta, Pavan Kumar Tandra, Lyudmyla Berim

Research output: Contribution to journalArticle

7 Citations (Scopus)

Abstract

A 22-year-old man with a history of multiple episodes of priapism presented to the emergency room with an erection lasting more than 48 h after conservative management failed at home. He had no known family history of sickle cell disease or trait. He was haemodynamically stable. Physical examination revealed an enlarged, tender penis. Laboratory data revealed a positive sickle solubility test. Haemoglobin electrophoresis revealed sickle cell trait and urine drug screen was positive for cannabinoids. Initial management was attempted with intracavernosal phenylephrine without any success. The patient underwent a limited El-Ghorab procedure on the right corpora cavernosa but the priapism did not resolve adequately. Two days later, the patient had to undergo a bilateral El-Ghorab procedure and achieved complete resolution of the priapism.

Original languageEnglish (US)
JournalBMJ case reports
DOIs
StatePublished - May 5 2014

Fingerprint

Sickle Cell Trait
Priapism
Cannabis
Cannabinoids
Penis
Sickle Cell Anemia
Phenylephrine
Solubility
Physical Examination
Electrophoresis
Hospital Emergency Service
Hemoglobins
Urine
Pharmaceutical Preparations

ASJC Scopus subject areas

  • Medicine(all)

Cite this

Priapism in a patient with sickle cell trait using marijuana. / Matta, Abhishek; Tandra, Pavan Kumar; Berim, Lyudmyla.

In: BMJ case reports, 05.05.2014.

Research output: Contribution to journalArticle

Matta, Abhishek ; Tandra, Pavan Kumar ; Berim, Lyudmyla. / Priapism in a patient with sickle cell trait using marijuana. In: BMJ case reports. 2014.
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