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Case Reports
. 2020 Feb 8:2020:8373816.
doi: 10.1155/2020/8373816. eCollection 2020.

Angioembolization of Scrotal Arteriovenous Malformations: A Case Report and Literature Review

Ammar Mohammad  1 , Wael Sahyouni  1 , Taisser Almeree  2 , Bayan Alsaid  3   4
Affiliations
Case Reports

Angioembolization of Scrotal Arteriovenous Malformations: A Case Report and Literature Review

Ammar Mohammad et al. Case Rep Vasc Med. .

Abstract

Arteriovenous malformations (AVMs) of the scrotum are rare lesions, usually diagnosed incidentally during the evaluation of scrotal masses or infertility. It could be presented with acute bleeding or acute pain. We are presenting a case of painless bilateral infiltrated scrotal mass (more advanced in the left side) developed dramatically over a year, no other symptoms existed. The diagnosis was made using duplex ultrasound (DUS), computed tomography arteriography (CTA), and digital subtraction angiography (DSA). Three sessions of angioembolization were performed and followed by surgical resection of the left side of the scrotum.

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Conflict of interest statement

The authors declare that there are no conflicts of interest regarding the publication of this paper.

Figures

Figure 1
Figure 1
Left scrotal swelling.
Figure 2
Figure 2
(a, b) Doppler ultrasound showed dilated vessels with both venous and arterial components; (c) computed tomography arteriography.
Figure 3
Figure 3
Normal blood supply of scrotum.
Figure 4
Figure 4
Embolization of multiple vessels: (a, b) internal pudendal artery and (c, d, e) superficial external pudendal artery. (f) View of scrotum after 24 hours.
Figure 5
Figure 5
(a, b) Second session of angioembolization of the rest of superficial external pudendal artery branches; (c) affected area after 24 hours; (d) anterioposterior view of left deep external pudendal artery during the third session. (e) Final view showing no more visible feeding branches to the arteriovenous malformation. (f) Final clinically infarcted area before surgery.
Figure 6
Figure 6
Surgical steps: (a) isolation of left spermatic cord with the testicle from inguinal incision, (b, c) resection of the lesion, and (d) insertion of the left testicle in the right side of scrotum. (e) View after surgery.
Figure 7
Figure 7
After 3 months (a). After 12 months (b).
See this image and copyright information in PMC

References

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