Work

Angioembolization as the treatment for a misdiagnosed scrotal arteriovenous malformation: A case report and literature review

Year: 2024

Type: article

Abstract: Scrotal Arteriovenous malformation (AVM) is a rare congenital vascular anomaly which presents with swelling, heaviness, pain and bleeding in inguinal and scrotal area and in some cases it may result in azoospermia and infertility. Therefore, this can be misdiagnosed with other usual pathologies of scrotum such as hernia and varicocele. In this study, we present a case of a scrotal AVM which was misdiagnosed as varicocele followed by unnecessary varicocelectomy, after which diagnostic angiography was performed and showed presence of AVM. Accordingly, successful angioembolization was performed for the patient. At the 6-month follow-up, all the symptoms had relieved. • Rare scrotal AVM misdiagnosed and treated as varicocele initially. • AVM diagnosis confirmed by angiography showing multiple feeder vessels. • Angioembolization successfully resolved symptoms and scrotal swelling. • Embolization materials carefully chosen to prevent glue reflux.

Source: Urology Case Reports

DOI: 10.1016/j.eucr.2024.102917

Authors: Iman Kiani, Jamshid Sadiqi, Jalaluddin Khoshnevis, Arash Khameneh Bagheri

Institutions: Tehran University of Medical Sciences, Shahid Beheshti University, Shahid Beheshti University of Medical Sciences

Language: English

Topic: Vascular Malformations and Hemangiomas

Subfield: Surgery

Field: Medicine

Domain: Health Sciences

SDG: Good health and well-being

Open Access status: gold

Estimated APC paid: $1,060