Abstract
A 52-year-old male had right lower extremity swelling following a long automobile ride. Venous duplex scan revealed a right popliteal deep venous thrombosis (DVT), and outpatient treatment with daily subcutaneous injection of 5,000 units dalteparin sodium, an LMWH, was instituted. Approximately 2 hours following the injection on the third day painful priapism developed without preceding trauma or sexual activity. The patient had no history of priapism and denied ingestion of alcohol or cocaine. The priapism was successfully treated with corporeal irrigation with saline and phenylephrine. Dark blood was irrigated from the corpora, which was suggestive of low flow priapism. Oral warfarin was started the next day and maintained for 6 months as DVT therapy. The patient responded well and suffered no further episodes of DVT or priapism.
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