Multi-modality Approach to an Adolescent Scrotal Arteriovenous Malformation

Publication Date

2023

Document Type

Article

Publication Title

Asian and Oceanic Forum for Paediatric Radiology

Abstract

Arteriovenous malformation (AVM) is a vascular abnormality that rarely affects the scrotum with only less than 20 reported cases in the literature. This is a retrospective review of an adolescent who complained of a slowly enlarging left scrotum initially thought to be due to a varicocele. Varicocelectomy was performed but the scrotal enlargement progressed. A testicular neoplasm was then considered. Imaging work-up using grey-scale ultrasound with color Doppler study and contrastenhanced computed tomography scan however revealed a tangle of abnormal vessels reflective a scrotal AVM, confirmed and subsequently managed via conventional angiography with transcatheter embolization prior to eventual surgical excision. The use of various pre-operative imaging techniques for visualization, characterization and diagnosis of such anomalies are very critical to provide the appropriate management for these patients.

First Page

42

Last Page

44

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