Bleeding scrotal vascular lesions: interventional management with transcatheter embolization

Area of Science:

• Vascular Surgery
• Interventional Radiology
• Urology

Background:

• Vascular lesions of the scrotum are uncommon, with varicocele being the most frequent.
• Other rare scrotal vascular lesions include hemangioma, lymphangioma, and arteriovenous malformations.
• Diagnosis and management rely on various imaging modalities.

Observation:

• Two cases of extratesticular scrotal vascular lesions presenting with bleeding are detailed.
• Patients experienced bleeding from these rare vascular abnormalities.
• The lesions involved the extratesticular soft tissues of the scrotum.

Findings:

• Grayscale and color Doppler sonography, MRI, MRA, and DSA are crucial diagnostic tools.
• Radiological interventional techniques were employed for treatment.
• Successful treatment involved superselective catheterization and distal embolization.

Implications:

• Highlights the importance of advanced imaging in diagnosing rare scrotal vascular lesions.
• Demonstrates the efficacy of interventional radiology in managing scrotal bleeding.
• Emphasizes superselective catheterization and distal embolization as critical treatment strategies.