Scrotal arteriovenous malformation: Case report

Avendaño, Guadalupe M L Guerrero; García, Rafael Castañeda; Rodea, Carlos Alberto Saldivar; Juárez, Miguel Ángel Sierra; Cuéllar, José Sebastián Sotelo

doi:10.1016/j.radcr.2022.01.055

Cited by 3 publications

(6 citation statements)

References 11 publications

(28 reference statements)

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“…The testes and spermatic cords should be spared during surgery to preserve patient's fertility [ 3 , 4 ]. Surgical complications may include extending the abnormal vessels and becoming less defined, severe hemorrhage during operation, and impotence with poor management of the procedure [ 12 ].…”

Section: Discussionmentioning

confidence: 99%

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

Edris,

Alhomsi,

Harh

et al. 2024

International Journal of Surgery Case Reports

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Section: Discussionmentioning

confidence: 99%

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

Edris,

Alhomsi,

Harh

et al. 2024

International Journal of Surgery Case Reports

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“…The preferred therapeutic options for AVMs are sclerotherapy, embolization, and surgical excision ( 4 ). Sclerotherapy reduces the size of the venous nidus prior to surgical excision, and embolization eases the resection process with the least amount of bleeding ( 13 ).…”

Section: Discussionmentioning

confidence: 99%

“…They arise due to developmental changes in blood vessel formation, exhibit proportional growth alongside the child's development, and are identified by the presence of enlarged feeding vessels, excessive arteriovenous connections at the nidus level, and high vascularity. While some AVMs may not present any symptoms, others can manifest as increased size, bleeding, pain, or conditions such as azoospermia, infertility, heart failure, and potentially life-threatening hemorrhages ( 3 , 4 ). Their most common locations are the neck, trunks, extremities, and extracranial and intracranial areas ( 3 ).…”

Section: Introductionmentioning

confidence: 99%

“…The para-testicular area contains a variety of structures, including the tunica vaginalis, lymphatic channels, ductus deferens, epididymis, vessels, spermatic cord, and other testicular suppurative tissues ( 5 ). AVMs from these structures are very rare, with only a limited number of cases of the spermatic cord or scrotal wall reported in the literature ( 1 , 4 ).…”

Section: Introductionmentioning

confidence: 99%

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Para‑testicular arteriovenous malformation: A case report and mini‑review of the literature

Bapir

Kakamad

Aghaways

et al. 2023

Med Int

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Arteriovenous malformations from para-testicular structures are very rare, with only a limited number of cases reported in the literature. The present study reports a rare case of para-testicular arteriovenous malformation. A 6-year-old boy presented with painless swelling in the scrotum for 6 months. Upon examination, a non-tender and non-pulsatile cystic swelling was observed in the right hemi-scrotum below the testis. A scrotal ultrasound revealed a separate cystic lesion with a normal texture and the vascularity of both testes. Under general anesthesia, via a small scrotal incision, a cystic, blood-filled mass was excised. The results of a histopathological examination were suggestive of vascular malformation. The case described in the present study aims to shed light on vascular malformations. A number of vascular malformations are incorrectly referred to as hemangiomas, and numerous patients undergo inappropriate therapy due to this misclassification. Although para-testicular arteriovenous malformation is a very rare condition, it should be included in the differential diagnosis of para-testicular lesions.

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“…It usually presents as tumorous growth, pain, bleeding or infertility. [ 2 ] Here, we report a case which highlights scrotal AVM as a possible cause of male infertility due to altered scrotal vascular anatomy and haemodynamics related to this pathology.…”

Section: Introductionmentioning

confidence: 99%

‘Scrotal “Sack” – A bag of worms’: Scrotal arteriovenous malformation

Thakur

Jhobta

et al. 2023

J Hum Reprod Sci

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A BSTRACT Scrotal arteriovenous malformation (AVM) is an unusual entity with its own important clinical implications. Described only as a few case reports in medical literature, it not only can cause life-threatening haemorrhage because of its superficial location in the scrotum but also can result in infertility. We report the case of a 35-year-old man who had a progressively increasing scrotal swelling for almost 20 years and now presented for infertility workup. He had oligospermia on semen analysis with a normal testosterone level and no history of testicular infection or scrotal surgery. On scrotal sonography and computed tomography angiography, he was diagnosed to have bilateral scrotal AVMs which may have resulted in his oligospermia. Pre-operative embolisation and surgery was offered as a treatment option which the patient declined and was lost to follow-up. However, this case describes scrotal AVM as an important and possibly correctable cause of infertility. Usually diagnosed as scrotal lymphedema clinically, the case has been reported so that the clinician should be aware of this entity as a plausible cause of male infertility and the treatment could be refined and accelerated.

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Scrotal arteriovenous malformation: Case report

Cited by 3 publications

References 11 publications

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

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

Para‑testicular arteriovenous malformation: A case report and mini‑review of the literature

‘Scrotal “Sack” – A bag of worms’: Scrotal arteriovenous malformation

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