Abstract
Priapism is a prolonged penile erection lasting for more than 4 hours, rarely seen in children. Our patient is a 12 year old previously healthy male patient who presented to emergency with complaints of painful Penile erection. On workup, hemogram coupled with bone marrow aspiration investigations revealed acute lymphoblastic leukemia L1 to be the root cause. Emergency decompression under penile block by aspiration from corpora cavernosa by a lateral approach (3 o clock and 9 o clock position) was done followed by injection of phenylephrine (sympathomimetic agent) in the cavernosa muscles to relieve the ischaemic priapism. The presence of dark, deoxygenated blood conrms ischaemic priapism. Priapism in paediatric age group is a very rare occurance. Ischaemic priapism is the most common type of priapism in children and is a surgical emergency.
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