{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,6,27]],"date-time":"2026-06-27T23:49:06Z","timestamp":1782604146332,"version":"3.54.5"},"reference-count":17,"publisher":"BMJ","content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["BMJ Case Reports"],"abstract":"<jats:p>A 35-year-old man developed priapism with the use of low-molecular-weight heparin and warfarin following repair of left brachial artery sustained after gunshot injury. Priapism progressed to penile gangrene despite decompression and distal shunt procedure leading to total penectomy and perineal urethrostomy. We describe the mechanism of anticoagulant (heparin and warfarin)-induced penile gangrene and the possible methods to avert such a devastating complication.<\/jats:p>","DOI":"10.1136\/bcr-2012-007073","type":"journal-article","created":{"date-parts":[[2012,11,21]],"date-time":"2012-11-21T15:38:21Z","timestamp":1353512301000},"page":"bcr2012007073","source":"Crossref","is-referenced-by-count":9,"title":["Anticoagulant-induced priapism progressing to penile gangrene: a devastating complication!"],"prefix":"10.1136","volume":"2012","author":[{"given":"Deepak Sharanappa","family":"Nagathan","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Harvinder Singh","family":"Pahwa","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Awanish","family":"Kumar","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Apul","family":"Goel","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"239","published-online":{"date-parts":[[2012,11,21]]},"reference":[{"key":"2025042707362048000_2012.nov21_1.bcr2012007073.1","doi-asserted-by":"crossref","first-page":"749","DOI":"10.1016\/B978-1-4160-6911-9.00025-6","article-title":"Priapism","volume":"1","author":"Broderick","year":"2012","journal-title":"Campbell-Walsh urology"},{"key":"2025042707362048000_2012.nov21_1.bcr2012007073.2","doi-asserted-by":"publisher","DOI":"10.1016\/0090-4295(80)90043-6"},{"key":"2025042707362048000_2012.nov21_1.bcr2012007073.3","doi-asserted-by":"publisher","DOI":"10.1016\/j.urology.2009.04.036"},{"key":"2025042707362048000_2012.nov21_1.bcr2012007073.4","doi-asserted-by":"publisher","DOI":"10.4103\/2006-8808.78470"},{"key":"2025042707362048000_2012.nov21_1.bcr2012007073.5","first-page":"888","article-title":"Penile gangrene due to severe vascular calcification","volume":"8","author":"Halachmi","year":"2006","journal-title":"IMAJ"},{"key":"2025042707362048000_2012.nov21_1.bcr2012007073.6","doi-asserted-by":"crossref","unstructured":"Labanaris AP Zugor V Smiszek R . Dry gangrene of the penis induced by a bullring for sexual stimulation purposes. Sci World J 2008:896\u2013900.","DOI":"10.1100\/tsw.2008.128"},{"key":"2025042707362048000_2012.nov21_1.bcr2012007073.7","doi-asserted-by":"crossref","first-page":"111","DOI":"10.1016\/S0022-5347(17)44750-1","article-title":"Localized gangrene of the scrotum and penis: a complication of heroin injection into the femoral vessels","volume":"136","author":"Somers","year":"1986","journal-title":"J Urol"},{"key":"2025042707362048000_2012.nov21_1.bcr2012007073.8","first-page":"359","article-title":"Penile gangrene: a devastating and lethal entity","volume":"22","author":"Singh","year":"2011","journal-title":"Saudi J Kidney Dis Transpl"},{"key":"2025042707362048000_2012.nov21_1.bcr2012007073.9","doi-asserted-by":"crossref","first-page":"2014","DOI":"10.1016\/S0022-5347(17)32294-2","article-title":"Penile gangrene associated with chronic renal failure: report of 7 cases and review of the literature","volume":"152","author":"Stein","year":"1994","journal-title":"J Urol"},{"key":"2025042707362048000_2012.nov21_1.bcr2012007073.10","doi-asserted-by":"publisher","DOI":"10.1097\/01.ju.0000132155.38285.8e"},{"key":"2025042707362048000_2012.nov21_1.bcr2012007073.11","doi-asserted-by":"publisher","DOI":"10.1038\/sj.ijir.3900759"},{"key":"2025042707362048000_2012.nov21_1.bcr2012007073.12","doi-asserted-by":"publisher","DOI":"10.1111\/j.1365-2141.1963.tb05479.x"},{"key":"2025042707362048000_2012.nov21_1.bcr2012007073.13","doi-asserted-by":"publisher","DOI":"10.3346\/jkms.2010.25.9.1390"},{"key":"2025042707362048000_2012.nov21_1.bcr2012007073.14","doi-asserted-by":"publisher","DOI":"10.7326\/0003-4819-101-1-59"},{"key":"2025042707362048000_2012.nov21_1.bcr2012007073.15","doi-asserted-by":"publisher","DOI":"10.1016\/S1053-0770(00)90017-X"},{"key":"2025042707362048000_2012.nov21_1.bcr2012007073.16","doi-asserted-by":"publisher","DOI":"10.1111\/j.1365-2141.2004.05095.x"},{"key":"2025042707362048000_2012.nov21_1.bcr2012007073.17","unstructured":"UAB coagulation service. Test interpretation and therapy. Anticoagulant therapy monitoring. (Internet). http:\/\/peir.path.uab.edu\/coag\/article_221.shtmls (accessed 25 July 2012)."}],"container-title":["BMJ Case Reports"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/syndication.highwire.org\/content\/doi\/10.1136\/bcr-2012-007073","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2025,4,27]],"date-time":"2025-04-27T14:36:31Z","timestamp":1745764591000},"score":1,"resource":{"primary":{"URL":"https:\/\/casereports.bmj.com\/lookup\/doi\/10.1136\/bcr-2012-007073"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2012,11,21]]},"references-count":17,"alternative-id":["10.1136\/bcr-2012-007073"],"URL":"https:\/\/doi.org\/10.1136\/bcr-2012-007073","relation":{},"ISSN":["1757-790X"],"issn-type":[{"value":"1757-790X","type":"electronic"}],"subject":[],"published":{"date-parts":[[2012,11,21]]}}}