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A 47-year-old male patient, with no toxic habits or pathological history of interest, comes to the consultation andology for presenting and protracting a non-painful bike of approximately 4 years of evolution after closed perineal trauma. |
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On physical examination, a vesicular body is observed, with increased consistency, non-painful palpation, without abnormal pulses. |
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Sustained penisibility. |
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Mobile tests in both bags were normal. |
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As complementary examinations was performed penennial Doppler ultrasound: compatible arteriovenous fistula right apparently conserved; in the most proximal portion of the turbulent body with left flow duration is observed echoic formation (2x1.8x fistulae). |
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With the diagnostic orientation of high flow priapism was decided to perform pudendal arteriography with local anesthesia confirming AVF and subsequent embolization using 2 coil 3x5. |
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After embolization, the patient evolved favorably with complete and normal penile detumescence. |
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He is currently asymptomatic. |
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