Nguyen Luan D, Tran Hien M, Le Huy A, Nguyen Tai T, Bui Kinh T, Hoang Loi M, Nguyen Tung S, Nguyen Hai H
Head of Interventional Radiology Unit, Radiology Department, Nhan Dan Gia Dinh Hospital, Viet Nam.
Interventional Radiology Unit, Radiology Department, Nhan Dan Gia Dinh Hospital, Viet Nam.
Urol Case Rep. 2023 Aug 2;50:102519. doi: 10.1016/j.eucr.2023.102519. eCollection 2023 Sep.
Pelvic arteriovenous malformation is a rare vascular abnormality, espescially in male patients, and is difficult to treat because of its nature supplied by multiple arterial feeders. We report a 70-year-old male patient admitted due to symptoms of benign prostatic hyperplasia. Ultrasound was performed initially, and no other abnormalities were found other than an enlarged prostate. CT scan later demonstrated a pelvic arteriovenous malformation adjacent to the prostate, with multiple arterial feeders from the right internal iliac artery. Angiography confirmed the diagnosis, and transaterial embolization was successfully done. The symptoms disappeared several days later, and the patient remained asymptompmatic during follow-up.
盆腔动静脉畸形是一种罕见的血管异常,尤其在男性患者中,由于其由多个动脉供血支供血的性质,治疗起来很困难。我们报告一名70岁男性患者,因良性前列腺增生症状入院。最初进行了超声检查,除前列腺增大外未发现其他异常。后来的CT扫描显示前列腺旁有盆腔动静脉畸形,有来自右髂内动脉的多个动脉供血支。血管造影证实了诊断,并成功进行了经动脉栓塞术。几天后症状消失,患者在随访期间一直无症状。