Ascoli Marchetti A, Citoni G, Gandini R, Ippoliti A
Vascular Surgery Unit Biomedicine Department, University of Rome Tor Vergata, Italy.
Vascular Surgery Unit Biomedicine Department, University of Rome Tor Vergata, Italy.
Int J Surg Case Rep. 2020;69:24-27. doi: 10.1016/j.ijscr.2020.03.019. Epub 2020 Mar 28.
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.
The two-phase strategy adopted in that case permitted complete treatment of a large-sized malformation that was served by 4 main blood confluences.
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.
A multidisciplinary approach is mandatory to achieve good results in these cases.
先天性骨盆畸形较为罕见，是一项具有挑战性的治疗难题。阴囊动静脉畸形非常少见，文献中仅有少数此类病例报道。仅描述过1例因动静脉瘘导致无精子症的阴囊畸形病例。
该病例采用的两阶段策略实现了对由4个主要血液汇合处供血的大型畸形的彻底治疗。
使用MIP和SSD算法重建进行的血管CT提供了关于动静脉畸形传入和传出血管延伸的更详细数据，从而使我们能够规划病变的血管内治疗。
对于这些病例，多学科方法是取得良好效果的必要条件。
