‘Scrotal “Sack” – A Bag of Worms’: Scrotal Arteriovenous Malformation
Scrotal arteriovenous malformation (AVM) is an unusual entity with its own important clinical implications. Described only as a few case reports in medical literature, it not only can cause life-threatening haemorrhage because of its superficial location in the scrotum but also can result in inferti...
Saved in:
| Main Authors: | , , , |
|---|---|
| Format: | Article |
| Language: | English |
| Published: |
Wolters Kluwer Medknow Publications
2023-04-01
|
| Series: | Journal of Human Reproductive Sciences |
| Subjects: | |
| Online Access: | https://journals.lww.com/10.4103/jhrs.jhrs_27_23 |
| Tags: |
Add Tag
No Tags, Be the first to tag this record!
|
| _version_ | 1823860967818133504 |
|---|---|
| author | Shruti Thakur Suresh Kumar Thakur Anupam Jhobta Charu Smita Thakur |
| author_facet | Shruti Thakur Suresh Kumar Thakur Anupam Jhobta Charu Smita Thakur |
| author_sort | Shruti Thakur |
| collection | DOAJ |
| description | Scrotal arteriovenous malformation (AVM) is an unusual entity with its own important clinical implications. Described only as a few case reports in medical literature, it not only can cause life-threatening haemorrhage because of its superficial location in the scrotum but also can result in infertility. We report the case of a 35-year-old man who had a progressively increasing scrotal swelling for almost 20 years and now presented for infertility workup. He had oligospermia on semen analysis with a normal testosterone level and no history of testicular infection or scrotal surgery. On scrotal sonography and computed tomography angiography, he was diagnosed to have bilateral scrotal AVMs which may have resulted in his oligospermia. Pre-operative embolisation and surgery was offered as a treatment option which the patient declined and was lost to follow-up. However, this case describes scrotal AVM as an important and possibly correctable cause of infertility. Usually diagnosed as scrotal lymphedema clinically, the case has been reported so that the clinician should be aware of this entity as a plausible cause of male infertility and the treatment could be refined and accelerated. |
| format | Article |
| id | doaj-art-7f1da8bc4e1d4bb88ac7fc032b45a887 |
| institution | Kabale University |
| issn | 0974-1208 1998-4766 |
| language | English |
| publishDate | 2023-04-01 |
| publisher | Wolters Kluwer Medknow Publications |
| record_format | Article |
| series | Journal of Human Reproductive Sciences |
| spelling | doaj-art-7f1da8bc4e1d4bb88ac7fc032b45a8872025-02-10T07:44:53ZengWolters Kluwer Medknow PublicationsJournal of Human Reproductive Sciences0974-12081998-47662023-04-0116217017210.4103/jhrs.jhrs_27_23‘Scrotal “Sack” – A Bag of Worms’: Scrotal Arteriovenous MalformationShruti ThakurSuresh Kumar ThakurAnupam JhobtaCharu Smita ThakurScrotal arteriovenous malformation (AVM) is an unusual entity with its own important clinical implications. Described only as a few case reports in medical literature, it not only can cause life-threatening haemorrhage because of its superficial location in the scrotum but also can result in infertility. We report the case of a 35-year-old man who had a progressively increasing scrotal swelling for almost 20 years and now presented for infertility workup. He had oligospermia on semen analysis with a normal testosterone level and no history of testicular infection or scrotal surgery. On scrotal sonography and computed tomography angiography, he was diagnosed to have bilateral scrotal AVMs which may have resulted in his oligospermia. Pre-operative embolisation and surgery was offered as a treatment option which the patient declined and was lost to follow-up. However, this case describes scrotal AVM as an important and possibly correctable cause of infertility. Usually diagnosed as scrotal lymphedema clinically, the case has been reported so that the clinician should be aware of this entity as a plausible cause of male infertility and the treatment could be refined and accelerated.https://journals.lww.com/10.4103/jhrs.jhrs_27_23arteriovenous malformationcomputed tomography angiographyembolisationhaemorrhageinfertility |
| spellingShingle | Shruti Thakur Suresh Kumar Thakur Anupam Jhobta Charu Smita Thakur ‘Scrotal “Sack” – A Bag of Worms’: Scrotal Arteriovenous Malformation Journal of Human Reproductive Sciences arteriovenous malformation computed tomography angiography embolisation haemorrhage infertility |
| title | ‘Scrotal “Sack” – A Bag of Worms’: Scrotal Arteriovenous Malformation |
| title_full | ‘Scrotal “Sack” – A Bag of Worms’: Scrotal Arteriovenous Malformation |
| title_fullStr | ‘Scrotal “Sack” – A Bag of Worms’: Scrotal Arteriovenous Malformation |
| title_full_unstemmed | ‘Scrotal “Sack” – A Bag of Worms’: Scrotal Arteriovenous Malformation |
| title_short | ‘Scrotal “Sack” – A Bag of Worms’: Scrotal Arteriovenous Malformation |
| title_sort | scrotal sack a bag of worms scrotal arteriovenous malformation |
| topic | arteriovenous malformation computed tomography angiography embolisation haemorrhage infertility |
| url | https://journals.lww.com/10.4103/jhrs.jhrs_27_23 |
| work_keys_str_mv | AT shrutithakur scrotalsackabagofwormsscrotalarteriovenousmalformation AT sureshkumarthakur scrotalsackabagofwormsscrotalarteriovenousmalformation AT anupamjhobta scrotalsackabagofwormsscrotalarteriovenousmalformation AT charusmitathakur scrotalsackabagofwormsscrotalarteriovenousmalformation |