Pelvic Arteriovenous Malformation (AVM) in Male Patient Presented as Perineal Pain: A Case Report and Review of Literature
Arteriovenous malformations (AVMs) are abnormal shunting
between arteries and veins. It occurs mostly in head, neck, and
lung. On the other hand, pelvic AVM is relatively rare, especially in
male patients.
The symptom of pelvic AVM in man varied among
patients, and there is no sufficient evidence to guide the diagnosis
and treatment.
Transrectal ultrasonography is used in the routine
evaluation of prostate enlargement and could also be utilized to
rule out the disease. The usefulness of computed tomography
(CT) and angiography for in-depth evaluation of AVM has been
recognized.
Treatment choices include surgical resection and selective embolization.
However, there is no evidence to support the
superiority of one over another.
We presented a male patient with congenital pelvic AVM who complaint
about perineal pain. We also discuss the use of image studies to evaluate
the disease and the selection of different treatment choices.
A 41-year-old male patient came to our office complaining about
intermittent dull pain on perineum for six months.
He denied any lower urinary tract symptoms, trauma,
urological history or systemic disease.
Physical examination and laboratory studies were
unremarkable. Digital rectal examination revealed elastic prostate
without the sign of inflammation.
Urol Androl Open J. 2017; 2(1): 1-3. doi: 10.17140/UAOJ-2-111
