Cusimano Frank A, Vaglica Adriana, Mitchell Christine, Czarnik Martyna, Tonis Adam, Greuner David A
Department of Medicine, Jackson Memorial Health System, University of Miami, Miami, FL.
Office of Research, NYC Surgical Associates, New York, NY.
J Vasc Surg Cases Innov Tech. 2022 Aug 30;10(6):101012. doi: 10.1016/j.jvscit.2022.08.017. eCollection 2024 Dec.
We have reported the case of a 36-year-old man with severe scrotal swelling that had remained undiagnosed after multiple diagnostic tests. The patient had presented with scrotal swelling, multiple weeping ulcers on the dorsal aspect of the scrotum, and worsening pain affecting his day-to-day functioning. Duplex ultrasound showed low- to no-flow hypervascularity and dependent edema suspicious for a vascular malformation. Treatment included sequential Gelfoam (Pfizer, New York, NY) embolization using ultrasound-guided direct cannulation and traditional angiography. The scrotal circumference decreased by 65%, with moderate relief of his pain. The details from the present case have highlighted the significance of vascular malformations, various diagnostic and therapeutic techniques used, and value of endovascular embolization.
我们报告了一例36岁男性病例，该患者阴囊严重肿胀，经过多次诊断测试仍未确诊。患者表现为阴囊肿胀、阴囊背侧有多处渗液性溃疡，疼痛不断加剧，影响其日常功能。双功能超声显示低血流至高血流的高血管化以及下垂性水肿，怀疑为血管畸形。治疗方法包括使用超声引导下直接插管和传统血管造影术进行序贯性明胶海绵（辉瑞公司，纽约州纽约市）栓塞。阴囊周长缩小了65%，疼痛得到中度缓解。本病例的细节突出了血管畸形的重要性、所使用的各种诊断和治疗技术以及血管内栓塞的价值。
