Large congenital pelvic arteriovenous malformation and management options

The congenital pelvic arteriovenous malformation (AVM) arises from dysplastic arteries and veins. These rare conditions might present to the urologist by producing massive hematuria. Most AVMs can be controlled by surgical resection, usually in conjunction with preoperative angiographic embolization. Here, we present a case of a large pelvic AVM that caused significant patient morbidity and required treatment by novel methods after the usual means had failed. In this report, we will detail those unique interventions required to control a tenuous clinical situation.