Resolution of recurrent ischemic priapism after celiac plexus block: case report evidence for its neurogenic origin?

摘要

INTRODUCTION: Recurrent ischemic priapism likely has a neurogenic basis for some clinical presentations. AIM: To describe a phenomenon of resolved recurrent ischemic priapism in a patient following celiac plexus block for recurrent upper abdominal pain. METHODS: The case report profiled a 44-year-old Caucasian man who developed recurrent ischemic priapism after retroperitoneal surgery. He had failed multiple conventional interventions for his priapism. After he underwent a celiac plexus block for recurrent upper abdominal pain, his recurrent priapism episodes immediately stopped. MAIN OUTCOME MEASURES: Clinical history regarding priapism occurrences. RESULTS: The patient obtained a resolution of his priapism after celiac plexus block, without recurrences at a 6-month follow-up assessment. CONCLUSIONS: Celiac plexus block successfully led to resolution of recurrent ischemic priapism of probable neurogenic origin associated with spinal nerve outflow injury.