Hatten Benjamin W, Bryant Eric
Denver Health Medical Center, Denver, Colorado 80204, USA.
J Emerg Med. 2012 Jun;42(6):e133-5. doi: 10.1016/j.jemermed.2009.05.026. Epub 2009 Aug 13.
Arteriovenous malformation (AVM) of the scrotum has, to our knowledge, been reported fewer than 10 times in the medical literature. It may be of congenital or post-traumatic etiology and has been reported to present with spontaneous bleeding.
A case of a spontaneously bleeding scrotal AVM that developed after remote trauma is presented. The differential diagnosis of a scrotal vascular lesion includes varicocele, hemangioma, lymphangioma, and AVM. Although ultrasound and magnetic resonance imaging play an important role in the evaluation, angiography is essential to fully delineate the feeder vessels, vascular takeoffs, and draining veins.
Scrotal AVMs are rare vascular scrotal lesions that may present with scrotal enlargement and a bruit. Definitive therapy should be planned in concert with Interventional Radiology and surgical consultants.
据我们所知，阴囊动静脉畸形（AVM）在医学文献中的报道少于10次。其病因可能为先天性或创伤后性，据报道可出现自发性出血。
本文报告1例远期创伤后发生的自发性出血性阴囊AVM病例。阴囊血管病变的鉴别诊断包括精索静脉曲张、血管瘤、淋巴管瘤和AVM。虽然超声和磁共振成像在评估中发挥重要作用，但血管造影对于全面描绘供血血管、血管起始点和引流静脉至关重要。
阴囊AVM是罕见的阴囊血管病变，可能表现为阴囊增大和血管杂音。应与介入放射科和外科会诊医生共同制定明确的治疗方案。
