Skip to main page content
U.S. flag

An official website of the United States government

Dot gov

The .gov means it’s official.
Federal government websites often end in .gov or .mil. Before sharing sensitive information, make sure you’re on a federal government site.

Https

The site is secure.
The https:// ensures that you are connecting to the official website and that any information you provide is encrypted and transmitted securely.

Access keys NCBI Homepage MyNCBI Homepage Main Content Main Navigation
Case Reports
. 2020:69:24-27.
doi: 10.1016/j.ijscr.2020.03.019. Epub 2020 Mar 28.

Case report of a successful multidisciplinary approach to a giant scrotal malformation

A Ascoli Marchetti  1 , G Citoni  2 , R Gandini  3 , A Ippoliti  2
Affiliations
Case Reports

Case report of a successful multidisciplinary approach to a giant scrotal malformation

A Ascoli Marchetti et al. Int J Surg Case Rep. 2020.

Abstract

Introduction: Congenital pelvic malformations are rare and represent a difficult therapeutic challenge. Scrotal arteriovenous malformations are quite unusual, with only a few such cases reported in the literature. Only one case of scrotal malformation? due to an arteriovenous fistula resulting in azoospermia has been described.

Presentation of case: The two-phase strategy adopted in that case permitted complete treatment of a large-sized malformation that was served by 4 main blood confluences.

Discussion: Angio-CT performed using reconstructions with MIP and SSD algorithms provided more detailed data about the extension of the afferents and efferents of the arteriovenous malformation, thus enabling us to plan the endovascular treatment of the lesion.

Conclusion: A multidisciplinary approach is mandatory to achieve good results in these cases.

Keywords: Embolization; Giant arteriovenous malformation; Multidisciplinary; Previous surgery; Selective angiography.

PubMed Disclaimer

Conflict of interest statement

Declaration of Competing Interest The authors declare to have no conflicts of interest or any financial and personal relationship with other people or organisations that could inappropriately influence (bias) our work.

Figures

Fig. 1
Fig. 1
Angio-CT MIP of the lower abdomen and the cranial portion of inferior limbs: See the presence of a raw agglomerate of enlarged blood vessels located in the left-side of the scrotum and contralateral dislocation of the right testicle.
Fig. 2
Fig. 2
Angio-CT SSD reconstruction swowing normal vasculararisation of the iliofemoral area and the selective embolisation with Glue deposition in the A-V malformation and in the arterial ramifications coming from the right femoral artery.
Fig. 3
Fig. 3
A. Right hemiscrotum aspect after necrotic tissue asportation. B. Necrotic skin tissue removed. C. Six monts appearance after the procedure. Note the volume reduction of the scrotum.
See this image and copyright information in PMC

References

    1. Agha R.A., Borrelli M.R., Farwana R., Koshy K., Fowler A., Orgill D.P., For the SCARE Group The SCARE 2018 Statement: Updating Consensus Surgical CAse REport (SCARE) Guidelines. Int. J. Surg. 2018;60:132–136. - PubMed
    1. Jacobowitz G.R., Rosen R.J., Rockman C.B., Nalbandian M., Hofstee D.J., Fioole B., Adelman M.A., Lamparello P.J., Gagne P., Riles T.S. Transcatheter embolization of complex pelvic vascular malformations: results and long-term follow-up. J. Vasc. Surg. 2001;33(January (1)):51–55. - PubMed
    1. Calligaro K.D., Sedlacek T.V., Savarese R.P., Carneval P., DeLaurentis D.A. Congenital pelvic arteriovenous malformations: long-term follow-up in two cases and a review of the literature. J. Vasc. Surg. 1992;16(July (1)):100–108. - PubMed
    1. Rastogi R. Diffuse cavernous Hemangioma 1 of the penis, scrotum, perineum and rectum - a rare tumor. Saudi J. Kidney Dis. Transpl. 2008;19(4):614–618. - PubMed
    1. Monoski M.A., Gonzalez R.R., Thomas A.J., Goldestain M. Arteriovenous malformation of scrotum causing virtual azoospermia. Urology. 2006;68:203.e5–203.e6. - PubMed

Publication types

LinkOut - more resources