Abstract:A congenital arteriovenous fistula (AV fistula) in the true pelvis is extremely rare, especially in males. We present a case of this disease with pollakiuria and intrarectal discomfort. Diagnosis was made by computed tomography and magnetic resonance imaging and confirmed by cine angiography. Because the AV fistula involved the bladder, prostate and rectum, ligation of the main feeding arteries was performed. He also had benign prostatic hypertrophy and was treated by conservative therapy because of a high ris… Show more
“…The optimal treatment has not been settled, but it is accepted that complete ligation of the feeding vessels and excision of the entire mass are essential for successful surgical treatment 5 . Percutaneous embolization has been advocated as a first line treatment by some 3,6 and as a treatment of choice for inoperable lesions by others 7 .…”
A localized arteriovenous malformation of the bladder is extremely rare. To our knowledge, arteriovenous malformation of the bladder has been reported in limited number of cases in the published literature. When arteriovenous malformation is suspected, an angiogram and pelvic computed tomography or magnetic resonance imaging is essential to delineate the extent of the disease and to plan appropriate therapy. Common symptoms include pain, gross hematuria and acute urinary retention.No well-established guidelines exist concerning their management. We report a case of an arteriovenous malformation of the urinary bladder that was successfully treated by transurethral resection.
“…The optimal treatment has not been settled, but it is accepted that complete ligation of the feeding vessels and excision of the entire mass are essential for successful surgical treatment 5 . Percutaneous embolization has been advocated as a first line treatment by some 3,6 and as a treatment of choice for inoperable lesions by others 7 .…”
A localized arteriovenous malformation of the bladder is extremely rare. To our knowledge, arteriovenous malformation of the bladder has been reported in limited number of cases in the published literature. When arteriovenous malformation is suspected, an angiogram and pelvic computed tomography or magnetic resonance imaging is essential to delineate the extent of the disease and to plan appropriate therapy. Common symptoms include pain, gross hematuria and acute urinary retention.No well-established guidelines exist concerning their management. We report a case of an arteriovenous malformation of the urinary bladder that was successfully treated by transurethral resection.
“…In symptomatic patients, the pAVM can be treated surgically [7] or with embolization [1,8] . Surgical treatment includes ligature of the feeding vessels or excision of the affected area [9,10] .…”
Objective: To report a case of congenital pelvic arteriovenous malformation (pAVM) with urinary retention. Clinical Presentation and Intervention: A 39-year-old male patient presented with inability to void urine for 8 h. He did not have a history of dysuria or fever, but had increasing urinary frequency and difficulty in voiding over 2 years. Examination revealed a suprapubic mass without external signs of vascular anomaly. A huge, soft, irregular, non-pulsating mass was felt rectally. This mass did not disappear on urinary bladder decompression. Subsequent ultrasound and CT scan revealed pAVMs filling most of the pelvic cavity. Conclusion: To our knowledge, this is the first report of a male patient with congenital pAVM presenting with urinary retention, emphasizing the need for a high index of suspicion for pAVM to avoid potential severe bleeding during suprapubic catheterization for urinary drainage.
“…[4,6,7,10,12,17,19,20] wurden am häufigsten Hämaturien [2,6,9,10,13,14,16,18,20] und Potenzprobleme [5,7,10,12] beklagt. [4,6,7,10,12,17,19,20] wurden am häufigsten Hämaturien [2,6,9,10,13,14,16,18,20] und Potenzprobleme [5,7,10,12] beklagt.…”
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