Idiopathic Ischemic Priapism in a Shih Tzu

다국어 초록 (Multilingual Abstract)

A 14-year-old castrated Shih Tzu weighing 5.4 kg presented with painful penile erection and dysuria that had been ongoing for 2 days. Treatment with salbutamol and gabapentin was initiated, but after 24 hours, the dog had not responded, so it was decided to proceed with penile amputation. The patient went into cardiac arrest during the surgery and died, despite attempted cardiopulmonary resuscitation. During the surgery, the penis was found to havean enlarged, tortuous, purple blood vessel located dorso-caudally to the bulbus glandis. A hemi-circular fibrous mass was found inside the vessel on histopathological examination; this mass may have induced the ischemic priapism by occluding the vein. This report describes a rare case of ischemic priapism in dogs.

참고문헌 (Reference)

1 Cassutto BH, "Using drug therapy to treat priapism in two dogs" 220-225, 2012

2 Kustritz MVR, "Theriogenology question of the month. Priapism or paraphimosis" 214 : 1483-1484, 1999

3 Orima H, "Surgical treatment of priapism observed in a dog and a cat" 51 : 1227-1229, 1989

4 Papazoglou LG, "Surgical conditions of the canine penis and prepuce" 24 : 204-218, 2002

5 Gregory SP, "Small animal surgical emergencies" Wiley-Blackwell 403-412, 2015

6 Rochat M, "Priapism: a review" 56 : 713-722, 2001

7 Pautler SE, "Priapism. From Priapus to the present time" 28 : 391-404, 2001

8 Martins-Bessa A, "Priapism secondary to perineal abscess in a dog-a case report" 45 : 558-563, 2010

9 Rogers L, "Priapism secondary to penile metastasis in a dog" 43 : 547-549, 2002

10 Gunn-Moore D, "Priapism in seven cats" 36 : 262-266, 1995

11 Lavely JA, "Priapism in dogs" 24 : 49-54, 2009

12 Payan-Carreira R, "Priapism associated with lumbar stenosis in a dog" 48 : e58-e64, 2013

13 Swalec K, "Priapism after castration in a cat" 195 : 963-964, 1989

14 Yuan J, "Insights of priapism mechanism and rationale treatment for recurrent priapism" 10 : 88-101, 2008

15 Salonia A, "European Association of Urology guidelines on priapism" 65 : 480-489, 2014

16 Kustritz MVR, "Disorders of the canine penis" 31 : 247-258, 2001

17 Montague DK, "American Urological Association guideline on the management of priapism" 170 : 1318-1324, 2003

18 Hashmat AI, "A lethal complication of papaverine-induced priapism" 145 : 146-147, 1991