A case of priapism following prolonged intravenous nutrition is reported. The small amounts of heparin as received by our patient would tend to minimise a risk of hypercoagulability. However, the administration of intravenous feeding agents and the concomitant metabolic acidosis may have enhanced this risk.
Get full access to this article
View all access options for this article.
References
1.
BeckerL. E.MitchellA. D. (1965). Priapism. Surgical Clinics of North America, 45, 1523.
2.
DensenK. W. E.RedmanC. W. G. (1977). Heparininduced decrease in circulating antithrombin III (letter to the editor). Lancet, 2, 1028.
3.
DintenfassL. (1965). Some rheological factors in the pathogenesis of thrombosis. Lancet, 2, 370.
4.
DugganM. L.MorganC. (1970). Heparin — A cause of priapism?Southern Medical Journal, 63, 1131.
5.
HeirdW. C.DellR. B.DriscollJ. M.GrebinB.WintersR. W. (1972). Metabolic acidosis resulting from intravenous alimentition mixture containing synthetic amino-acids. New England Journal of Medicine, 287, 943.
6.
HinmanF.Jr. (1960). Priapism — Reasons for failure of therapy. Journal of Urology, 83, 420.
7.
HouigT.GrottumK. A. (1973). Lipid infusions in man — Ultrastructural studies on blood platelet uptake of fat particles. Thrombosis et Diathesis Haemorrhagica, 29, 450.
8.
PortF. K.FiegelP.HeckingE.KohlerH.DistlerA. (1974). Priapism during regular haemodialysis. Lancet, 2, 1287.
9.
SaleD.CameronJ. S. (1974). Priapism during regular dialysis. Lancet, 2, 1567.
10.
UrA. (1976). Fatal embolism despite heparin treatment. Lancet, 1, 959.
11.
WesslerS. (1972). Thrombo embolism: Diagnosis and Treatment. Edited by KakkarV. V.JoharA. J., Chapt. 2, p 13. Edinburgh: Churchill Livingstone.
12.
YinE. T.WesslerS. (1970). Heparin-accelerated inhibition of activated Factor X by its natural inhibitor. Biochimica et Biophysica Acta, 201, 387.
