Undiagnosed scrotal swelling in a 36-year-old man: A congenital arteriovenous malformation

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 functio...

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Main Authors: Frank A. Cusimano, DO, PhD, MS, MA, MPhil, Adriana Vaglica, RDMS, Christine Mitchell, RVS, Martyna Czarnik, BA, Adam Tonis, DC, David A. Greuner, MD
Format: Article
Language:English
Published: Elsevier 2024-12-01
Series:Journal of Vascular Surgery Cases and Innovative Techniques
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Online Access:http://www.sciencedirect.com/science/article/pii/S2468428722001563
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author Frank A. Cusimano, DO, PhD, MS, MA, MPhil
Adriana Vaglica, RDMS
Christine Mitchell, RVS
Martyna Czarnik, BA
Adam Tonis, DC
David A. Greuner, MD
author_facet Frank A. Cusimano, DO, PhD, MS, MA, MPhil
Adriana Vaglica, RDMS
Christine Mitchell, RVS
Martyna Czarnik, BA
Adam Tonis, DC
David A. Greuner, MD
author_sort Frank A. Cusimano, DO, PhD, MS, MA, MPhil
collection DOAJ
description 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.
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spelling doaj-art-96b8cbcb0944431991082a2e754ebc482025-08-20T02:07:35ZengElsevierJournal of Vascular Surgery Cases and Innovative Techniques2468-42872024-12-0110610101210.1016/j.jvscit.2022.08.017Undiagnosed scrotal swelling in a 36-year-old man: A congenital arteriovenous malformationFrank A. Cusimano, DO, PhD, MS, MA, MPhil0Adriana Vaglica, RDMS1Christine Mitchell, RVS2Martyna Czarnik, BA3Adam Tonis, DC4David A. Greuner, MD5Department of Medicine, Jackson Memorial Health System, University of Miami, Miami, FL; Office of Research, NYC Surgical Associates, New York, NY; Correspondence: Frank A. Cusimano, DO, PhD, MS, MA, MPhil, Department of Medicine, Jackson Memorial Health System, University of Miami, 1611 NW 12th Ave, Miami, FL 33136NYC Surgical Associates, New York, NYNYC Surgical Associates, New York, NYOffice of Research, NYC Surgical Associates, New York, NYNYC Surgical Associates, New York, NYNYC Surgical Associates, New York, NYWe 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.http://www.sciencedirect.com/science/article/pii/S2468428722001563Arterial malformationsArteriovenous malformationsLymphedemaMalformationsScrotal swellingVenous malformations
spellingShingle Frank A. Cusimano, DO, PhD, MS, MA, MPhil
Adriana Vaglica, RDMS
Christine Mitchell, RVS
Martyna Czarnik, BA
Adam Tonis, DC
David A. Greuner, MD
Undiagnosed scrotal swelling in a 36-year-old man: A congenital arteriovenous malformation
Journal of Vascular Surgery Cases and Innovative Techniques
Arterial malformations
Arteriovenous malformations
Lymphedema
Malformations
Scrotal swelling
Venous malformations
title Undiagnosed scrotal swelling in a 36-year-old man: A congenital arteriovenous malformation
title_full Undiagnosed scrotal swelling in a 36-year-old man: A congenital arteriovenous malformation
title_fullStr Undiagnosed scrotal swelling in a 36-year-old man: A congenital arteriovenous malformation
title_full_unstemmed Undiagnosed scrotal swelling in a 36-year-old man: A congenital arteriovenous malformation
title_short Undiagnosed scrotal swelling in a 36-year-old man: A congenital arteriovenous malformation
title_sort undiagnosed scrotal swelling in a 36 year old man a congenital arteriovenous malformation
topic Arterial malformations
Arteriovenous malformations
Lymphedema
Malformations
Scrotal swelling
Venous malformations
url http://www.sciencedirect.com/science/article/pii/S2468428722001563
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