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Clitoral Priapism with No Known Risk Factors

Author(s): Gharahbaghian, Laleh

Journal: Western Journal of Emergency Medicine ISSN 1936-900X
Volume: 9; Issue: 4; Start page: 235; Date: 2008;
Original page

Keywords: priapism | clitoris | vulvar pain | emergency medicine

ABSTRACT
Clitoral priapism is a rare condition that is associated with an extended duration of clitoral erection due to local engorgement of clitoral tissue resulting in pain. Although the pathophysiology is not completely understood, it has been associated with specific classes of medications, diseases that alter clitoral blood flow or others associated with small to large vessel disease. We present a case report of a 26-year-old patient who developed clitoral priapism without a clear medication or disease related etiology. The patient was treated with opiates, imipramine, non-steroidal anti-inflammatory medication, and local ice packs. She recovered uneventfully. [WestJEM. 2008;9:235-237.]