Neonatal priapism revealing polycythemia: A rare association-Case report.
A Lalaoui, N Ranib, K Abi El Aala et al.
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Case in brief
A male neonate born at 37 + 3 weeks developed painless priapism on the first day of life, lasting approximately 48 h. There was no penile discoloration or distress. Color Doppler ultrasound showed preserved arterial and venous flow, consistent with high-flow, non-ischemic priapism; hematologic assessment identified polycythemia. After therapeutic phlebotomy, detumescence occurred within 24 h and hematologic parameters normalized. The infant remained stable, with no recurrence or complications at 3-month follow-up.
What made this case unusual
The presentation linked neonatal high-flow, non-ischemic priapism with polycythemia, with resolution after therapeutic phlebotomy.
Diagnostic / clinical pearl
In neonatal priapism, preserved vascular flow supports a non-ischemic pattern; include polycythemia in the etiological assessment.