Malignant priapism secondary to adenocarcinoma of the prostate

The authors report a case of an older gentleman with a history of metastatic prostate cancer who presented to the emergency department following 3 weeks of progressively intermittent and then continuous priapism. After an initial clinical workup, an MRI was performed of the pelvis for further evalua...

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Bibliographic Details
Published in:BMJ case reports 2010-10, Vol.2010 (oct12 1), p.bcr0720092135-bcr0720092135
Main Authors: Kitley, Charles A, Mosier, Andrew D, Keylock, Joren, Nguyen, David
Format: Article
Language:English
Subjects:
80 Years
Adenocarcinoma - diagnosis
Adenocarcinoma - secondary
Aged
Biopsy, Large-Core Needle
Bladder
Bone Neoplasms - diagnosis
Bone Neoplasms - secondary
Cancer
Diagnosis, Differential
Disease Progression
Edema
Emergency medical care
Fatal Outcome
Follow-Up Studies
Humans
Image Interpretation, Computer-Assisted
Injuries
Ischemia
Liver Neoplasms - diagnosis
Liver Neoplasms - secondary
Lymphatic Metastasis - pathology
Magnetic Resonance Imaging
Male
Metastasis
Neoplasm Invasiveness
Palliative Care
Penile Neoplasms - diagnosis
Penile Neoplasms - pathology
Penile Neoplasms - secondary
Penis
Penis - pathology
Priapism - etiology
Prostate
Prostate - pathology
Prostatic Neoplasms - diagnosis
Prostatic Neoplasms - pathology
Radiation
Rare Disease
Tomography, X-Ray Computed
Unknown
Urinary Bladder - pathology
Urology
USA/Canada
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Description
Summary:The authors report a case of an older gentleman with a history of metastatic prostate cancer who presented to the emergency department following 3 weeks of progressively intermittent and then continuous priapism. After an initial clinical workup, an MRI was performed of the pelvis for further evaluation of the patient's condition which demonstrated metastatic lesions within his corpora cavernosa. The patient underwent follow-up core-needle biopsy with pathologically proven metastasis.
ISSN:1757-790X
1757-790X
DOI:10.1136/bcr.07.2009.2135