Pediatric Case ReportSuccessful Treatment of Propofol-induced Priapism With Distal Glans to Corporal Cavernosal Shunt
Section snippets
Case Report
A 7-year-old white boy with severe spastic quadriplegia cerebral palsy was noted to have a penile erection in the recovery room after an uneventful extra digit excision of the right hand. The general anesthesia had consisted of propofol 70 mg for induction and 200 μg/kg/min for infusion, atropine 0.3 mg, fentanyl 50 μg, vecuronium 2 mg, ondansetron 2 mg, and Prostigmin (neostigmine bromide) 1 mg. The patient was discharged with instructions for parents to return if the erection did not resolve
Comment
Sickle cell disease alone accounts for nearly two thirds of all cases of pediatric priapism,6 with 28% of patients reporting an episode before 20 years of age.7 Priapism has also been reported in children with neurologic disorders such as spinal cord injury, transverse myelitis, and cerebrovascular disease1, 4, 6; however, it has not been associated with cerebral palsy. Other etiologies in children include antipsychotic medications,8, 9, 10 sildenafil citrate toxicity,11 Fabry's disease,12
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