{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,7,8]],"date-time":"2026-07-08T09:19:42Z","timestamp":1783502382304,"version":"3.55.0"},"reference-count":10,"publisher":"Springer Science and Business Media LLC","issue":"1","license":[{"start":{"date-parts":[[2026,7,8]],"date-time":"2026-07-08T00:00:00Z","timestamp":1783468800000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0"},{"start":{"date-parts":[[2026,7,8]],"date-time":"2026-07-08T00:00:00Z","timestamp":1783468800000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0"}],"content-domain":{"domain":["link.springer.com"],"crossmark-restriction":false},"short-container-title":["CVIR Endovasc"],"abstract":"<jats:title>Abstract<\/jats:title>\n                  <jats:p>Post-traumatic priapism in the paediatric population poses a diagnostic and therapeutic challenge. Cavernous blood sampling is not well tolerated, and diagnostic uncertainty hinders management decisions. We present the use of Colour Doppler Ultrasound (CDU) to provide a definitive diagnosis of high-flow priapism and identification of an embolisation target which was then successfully embolised with gelfoam slurry with no clinical recurrence or complications at 6\u00a0months. Penile CDU is a reliable tool to diagnose arteriocavernous fistulae in children. Although conservative management remains first choice, safe and effective treatment of high-flow priapism in children can be achieved with gelfoam embolisation and identification of an embolisation target can aid the decision-making process.<\/jats:p>","DOI":"10.1186\/s42155-026-00730-7","type":"journal-article","created":{"date-parts":[[2026,7,8]],"date-time":"2026-07-08T09:00:59Z","timestamp":1783501259000},"update-policy":"https:\/\/doi.org\/10.1007\/springer_crossmark_policy","source":"Crossref","is-referenced-by-count":0,"title":["Traumatic high flow priapism in a child \u2014 the role of Colour Doppler Ultrasound and gelfoam embolotherapy for effective management"],"prefix":"10.1186","volume":"9","author":[{"given":"Sajal","family":"Patel","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Richard","family":"Jenkins","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Massimo","family":"Garriboli","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Athanasios","family":"Diamantopoulos","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Claire","family":"Lloyd","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-0213-1402","authenticated-orcid":false,"given":"Narayan","family":"Karunanithy","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"297","published-online":{"date-parts":[[2026,7,8]]},"reference":[{"issue":"1","key":"730_CR1","doi-asserted-by":"publisher","first-page":"129","DOI":"10.1016\/S0022-5347(17)39889-0","volume":"143","author":"MA Witt","year":"1990","unstructured":"Witt MA, Goldstein I, Saenz de Tejada I, Greenfield A, Krane RJ. Traumatic laceration of intracavernosal arteries: the pathophysiology of nonischemic, high flow, arterial priapism. J Urol. 1990;143(1):129\u201332.","journal-title":"J Urol"},{"issue":"2","key":"730_CR2","doi-asserted-by":"publisher","first-page":"109","DOI":"10.1038\/sj.ijir.3901257","volume":"17","author":"R Kuefer","year":"2005","unstructured":"Kuefer R, Bartsch G Jr., Herkommer K, Kr\u00e4mer SC, Kleinschmidt K, Volkmer BG. Changing diagnostic and therapeutic concepts in high-flow priapism. Int J Impot Res. 2005;17(2):109\u201313.","journal-title":"Int J Impot Res"},{"issue":"2","key":"730_CR3","doi-asserted-by":"publisher","first-page":"252","DOI":"10.1016\/S0022-5347(17)58419-0","volume":"117","author":"JB Wear Jr.","year":"1977","unstructured":"Wear JB Jr., Crummy AB, Munson BO. A new approach to the treatment of priapism. 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Int J Impot Res. 2024. https:\/\/doi.org\/10.1038\/s41443-024-00928-0.","journal-title":"Int J Impot Res"},{"issue":"2","key":"730_CR6","doi-asserted-by":"publisher","first-page":"165","DOI":"10.1016\/S0301-5629(01)00502-6","volume":"28","author":"BG Volkmer","year":"2002","unstructured":"Volkmer BG, Nesslauer T, Kuefer R, Kraemer S, Goerich J, Gottfried HW. High-flow priapism: a combined interventional approach with angiography and colour Doppler. Ultrasound Med Biol. 2002;28(2):165\u20139.","journal-title":"Ultrasound Med Biol"},{"issue":"5","key":"730_CR7","doi-asserted-by":"publisher","first-page":"598","DOI":"10.1007\/s00261-005-0217-8","volume":"31","author":"SH Kim","year":"2006","unstructured":"Kim SH. Post-traumatic erectile dysfunction: Doppler US findings. 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Radiol Med. 2020;125(3):288\u201395.","journal-title":"Radiol Med"}],"container-title":["CVIR Endovascular"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/link.springer.com\/content\/pdf\/10.1186\/s42155-026-00730-7.pdf","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/link.springer.com\/article\/10.1186\/s42155-026-00730-7","content-type":"text\/html","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/link.springer.com\/content\/pdf\/10.1186\/s42155-026-00730-7.pdf","content-type":"application\/pdf","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,7,8]],"date-time":"2026-07-08T09:00:59Z","timestamp":1783501259000},"score":1,"resource":{"primary":{"URL":"https:\/\/link.springer.com\/10.1186\/s42155-026-00730-7"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2026,7,8]]},"references-count":10,"journal-issue":{"issue":"1","published-online":{"date-parts":[[2026,12]]}},"alternative-id":["730"],"URL":"https:\/\/doi.org\/10.1186\/s42155-026-00730-7","relation":{},"ISSN":["2520-8934"],"issn-type":[{"value":"2520-8934","type":"electronic"}],"subject":[],"published":{"date-parts":[[2026,7,8]]},"assertion":[{"value":"29 November 2025","order":1,"name":"received","label":"Received","group":{"name":"ArticleHistory","label":"Article History"}},{"value":"25 June 2026","order":2,"name":"accepted","label":"Accepted","group":{"name":"ArticleHistory","label":"Article History"}},{"value":"8 July 2026","order":3,"name":"first_online","label":"First Online","group":{"name":"ArticleHistory","label":"Article History"}},{"order":1,"name":"Ethics","group":{"name":"EthicsHeading","label":"Declarations"}},{"value":"Case report, anonymised data presented so ethics approval not sought.","order":2,"name":"Ethics","group":{"name":"EthicsHeading","label":"Ethics approval and consent to participate"}},{"value":"Supplied by parent.","order":3,"name":"Ethics","group":{"name":"EthicsHeading","label":"Consent for publication"}},{"value":"None.","order":4,"name":"Ethics","group":{"name":"EthicsHeading","label":"Competing interests"}}],"article-number":"80"}}