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Priapism as Presenting Manifestation of Germ Cell Tumor in a Child

Orhan OZBEK¹, Yavuz KOKSAL², Osman KOC¹, Cuneyt KARAGOL², Seda OZBEK³, Mehmet KILIC<sup>4

1</sup>Selcuk University, Meram Faculty of Medicine, Department of Radiology, Konya, TURKEY
²Selcuk University, Selcuklu Faculty of Medicine, Department of Pediatric Oncology, Konya, TURKEY
³Konya Training and Research Hospital, Department of Radiology, Konya, TURKEY
⁴Selcuk University, Meram Faculty of Medicine, Department of Urology, Konya, TURKEY

Keywords: Children, Endodermal sinus tumor, Priapism

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Priapism, defined as prolonged and persistent erection of the penis without sexual stimulation, is rarely seen in children. We report a 2-year-old boy who was admitted with priapism with a history of the perineal trauma. Doppler ultrasonography revealed signs of high-flow priapism. Magnetic resonance imaging revealed an intrapelvic mass beside the root of the penis. The serum alpha-fetoprotein level was 54.600 ng/ml (Normal range: 0-9 ng/ml). Tru-cut biopsy was performed and endodermal sinus tumor was diagnosed. At the fourth day of chemotherapy, the penis became progressively less turgid and soft. After the first cycle chemotherapy, priapism had completely resolved.

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