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Case Reports
. 2024 Feb:115:109303.
doi: 10.1016/j.ijscr.2024.109303. Epub 2024 Jan 26.

Scrotal arteriovenous malformation (AVM) successfully resected without angioembolization: A case report

Mohammad Edris  1 , Dima Alhomsi  2 , Seba Harh  1 , Adnan Ahmed  3 , Mohamad-Ali Nahas  3 , Bayan Alsaid  4
Affiliations
Case Reports

Scrotal arteriovenous malformation (AVM) successfully resected without angioembolization: A case report

Mohammad Edris et al. Int J Surg Case Rep. 2024 Feb.

Abstract

Introduction and importance: The main types of scrotal vascular lesions are varicocele, hemangioma, lymphangioma and arteriovenous malformation (AVM). AVM consists of network between arteries and veins without capillaries. It is the rarest type especially when in scrotum.

Case presentation: A 24-year-old male patient presented with a skin deformity and painless swelling in the left scrotum. Physical examination revealed this swelling that extended to the inguinal region. Duplex Ultrasound (DUS) followed by Multi-slice Computed Tomography (MSCT) were performed to establish the diagnosis. Management depended on surgical excision without angioembolization. Preoperative sperm analysis showed oligoasthenozoospermia that improves significantly after treatment and 1 year of follow-up.

Clinical discussion: Surgical resection of scrotal AVM without embolization has been used in very few cases and has resulted in a satisfactory outcome with no signs of recurrence throughout the follow-up period.

Conclusion: Based on our experience, surgical excision without embolization is a reasonable alternative approach to treat scrotal AVM in low-income countries alongside avoiding the negative consequences of radiation therapy. Treatment should be considered when fertility is affected.

Keywords: AVM; Case report; Scrotal arteriovenous malformation; Semen analysis; Surgical resection.

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Conflict of interest statement

Declaration of competing interest Authors declare no conflict of interest.

Figures

Fig. 1
Fig. 1
Preoperative picture shows left scrotal swelling.
Fig. 2
Fig. 2
CT scan image after injection demonstrate tubular components of the lesion in variable size, the arterial component and enhancement in distended branches of left femoral vein.
Fig. 3
Fig. 3
Showed the lesion after surgical resection.
Fig. 4
Fig. 4
Histological study reveals cavernous monolayer vessels with non-typical endothelium. Arteriovenous malformation is differential diagnosis.
See this image and copyright information in PMC

References

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