We present benign high-flow priapism with intensive 18F-FDG uptake as an unusual finding in a case of testicular teratocarcinoma with a history of left orchiectomy and chemotherapy. 18F-FDG PET/CT scan showed pulmonary metastases, left obturator node involvement, and intense 18F-FDG uptake in the penis. Upon examination, the patient had a painless erection that lasted for couple of days. Because of pulmonary metastases, second-line chemotherapy regimen was started by his physician. The patient's priapism resolved spontaneously, with no episode of recurrence at 2 years' follow-up.
From the *Nuclear Medicine Research Center, Mashhad University of Medical Sciences; and
†Nuclear Medicine & Molecular Imaging Department, Imam Reza International University, Mashhad, Iran.
Received for publication December 29, 2018; revision accepted April 1, 2019.
Conflicts of interest and sources of funding: none declared.
Correspondence to: Ramin Sadeghi, MD, Nuclear Medicine Research Center, Mashhad University of Medical Sciences, Ahmad Abad St, Ali Shariati Square, Mashhad, Iran, 91766-99199. E-mail: email@example.com; firstname.lastname@example.org.
Online date: May 17, 2019