Pelvic congenital arteriovenous malformation diagnosed by transrectal ultrasonography: A case report

Authors

  • Kenjiro Suzuki Department of Urology, National Hospital Organization Saitama Hospital, Saitama, Japan
  • Nobuyuki Tanaka Department of Urology, National Hospital Organization Saitama Hospital, Saitama, Japan
  • Takashi Ebine Department of Urology, National Hospital Organization Saitama Hospital, Saitama, Japan
  • Tetsuo Momma, Department of Urology, National Hospital Organization Saitama Hospital, Saitama, Japan

DOI:

https://doi.org/10.5489/cuaj.161

Abstract

Arteriovenous malformations (AVMs) of the pelvis are relatively

rare and difficult to treat because of multiple and extensive feeding

vessels. We report the case of a 69-year-old male with pelvic

congenital AVM that was detected during tests for dysuria. He

visited our hospital complaining of voiding difficulty. Digital rectal

examination revealed a pulsating mass that was palpable on

the right side of the prostate. Transrectal ultrasonography showed

multiple hypoechoic lesions adjacent to the prostate and colour

Doppler ultrasonography revealed the flow regions corresponded

to the hypoechoic lesions. Computed tomography demonstrated

large-to-small tubular vessels adjacent to the prostate, while pelvic

angiography showed many small feeder arteries extending mainly

from the right internal iliac artery. He was diagnosed as having

pelvic congenital AVM. Uroflowmetry revealed slight voiding difficulty

without residual urine. The patient decided against treatment

and requested we monitor his clinical course.

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Author Biographies

Kenjiro Suzuki, Department of Urology, National Hospital Organization Saitama Hospital, Saitama, Japan

Department of Urology, National Hospital Organization Saitama Hospital, Saitama, Japan

Nobuyuki Tanaka, Department of Urology, National Hospital Organization Saitama Hospital, Saitama, Japan

Department of Urology, National Hospital Organization Saitama Hospital, Saitama, Japan

Takashi Ebine, Department of Urology, National Hospital Organization Saitama Hospital, Saitama, Japan

Department of Urology, National Hospital Organization Saitama Hospital, Saitama, Japan

Tetsuo Momma,, Department of Urology, National Hospital Organization Saitama Hospital, Saitama, Japan

Department of Urology, National Hospital Organization Saitama Hospital, Saitama, Japan

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Published

2012-12-17

How to Cite

Suzuki, K., Tanaka, N., Ebine, T., & Momma, T. (2012). Pelvic congenital arteriovenous malformation diagnosed by transrectal ultrasonography: A case report. Canadian Urological Association Journal, 6(2). https://doi.org/10.5489/cuaj.161

Issue

Vol. 6 No. 2 (2012): CUAJ April

Section

Case Report

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