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

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.