Case report of a successful multidisciplinary approach to a giant scrotal malformation

Abstract

Introduction: Congenital pelvic malformations are rare and represent a difficult therapeutic challenge. Scrotal arteriovenous malformations are quite unusual, with only a few such cases reported in the literature. Only one case of scrotal malformation? due to an arteriovenous fistula resulting in azoospermia has been described.

Presentation of case: The two-phase strategy adopted in that case permitted complete treatment of a large-sized malformation that was served by 4 main blood confluences.

Discussion: Angio-CT performed using reconstructions with MIP and SSD algorithms provided more detailed data about the extension of the afferents and efferents of the arteriovenous malformation, thus enabling us to plan the endovascular treatment of the lesion.

Conclusion: A multidisciplinary approach is mandatory to achieve good results in these cases.

Keywords: Embolization; Giant arteriovenous malformation; Multidisciplinary; Previous surgery; Selective angiography.