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Scrotal arteriovenous malformation (AVM) successfully resected without angioembolization: A case report
Mohammad Edris1, Dima Alhomsi1, Seba Harh1
1Faculty of Medicine, Damascus University, Damascus, Syria.
International Journal of Surgery Case Reports
|January 27, 2024
Summary
Surgical excision without embolization is a viable treatment for rare scrotal arteriovenous malformations (AVM), particularly when fertility is impacted. This approach offers a safe alternative, especially in resource-limited settings.
Area of Science:
- Vascular Surgery
- Urology
- Radiology
Background:
- Scrotal vascular lesions include varicocele, hemangioma, lymphangioma, and arteriovenous malformation (AVM).
- Arteriovenous malformations (AVMs) are rare in the scrotum, characterized by abnormal connections between arteries and veins without capillaries.
Observation:
- A 24-year-old male presented with left scrotal swelling and skin deformity, extending to the inguinal region.
- Diagnosis was confirmed using Duplex Ultrasound (DUS) and Multi-slice Computed Tomography (MSCT).
- The patient had preoperative oligoasthenozoospermia, which significantly improved post-treatment.
Findings:
- Surgical excision without angioembolization was performed for scrotal AVM.
- This management approach resulted in a satisfactory outcome with no recurrence during the 1-year follow-up.
- Surgical resection of scrotal AVM without embolization is infrequently reported.
Implications:
- Surgical excision without embolization is a reasonable alternative for scrotal AVM, especially in low-income countries.
- This method avoids potential negative effects of radiation therapy.
- Treatment should be prioritized when scrotal AVM affects male fertility.
