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Case Reports in Emergency Medicine
Volume 2017 (2017), Article ID 2656203, 3 pages
https://doi.org/10.1155/2017/2656203
Case Report

The Semantics of Priapism and the First Sign of Chronic Myeloid Leukemia

1Department of Emergency Medicine, University of Arizona, Tucson, AZ, USA
2College of Medicine, University of Arizona, Tucson, AZ, USA
3Department of Medicine, Division of Hematology and Oncology, University of Arizona Cancer Center, Tucson, AZ, USA

Correspondence should be addressed to Richard Amini; moc.liamg@inimadrahcir

Received 1 February 2017; Revised 3 April 2017; Accepted 7 May 2017; Published 30 May 2017

Academic Editor: Oludayo A. Sowande

Copyright © 2017 Michael R. Minckler et al. This is an open access article distributed under the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.

Abstract

Priapism is defined as an erection that persists beyond four hours, lasting beyond or unrelated to sexual stimulation (Salonia et al., 2014). Because the risk of ischemic damage and impotence is high with priapism (35%), management guidelines are directed towards rapid treatment of this condition (Salonia et al., 2014). This report describes the rare case of an 18-year-old male who presented to the Emergency Department (ED) three times with recurrent and worsening episodes of sustained penile erections. On the patient’s third visit, he presented with priapism of greater than six-hour duration that was found to be the result of chronic myeloid leukemia. Clinician awareness of the diagnostic semantics and differential diagnosis surrounding priapism is pivotal in its urgent management.