Pelvic Arteriovenous Malformation (AVM) in Male Patient Presented as Perineal Pain: A Case Report and Review of Literature

Abstract

A malformations (AVMs) are abnormal shunting between arteries and veins. It occurs mostly in head, neck, and lung. On the other hand, pelvic AVM is relatively rare, especially in male patients. The symptom of pelvic AVM in man varied among patients, and there is no sufficient evidence to guide the diagnosis and treatment. Transrectal ultrasonography is used in the routine evaluation of prostate enlargement and could also be utilized to rule out the disease. The usefulness of computed tomography (CT) and angiography for in-depth evaluation of AVM has been recognized.1 Treatment choices include surgical resection and selective embolization. However, there is no evidence to support the superiority of one over another. We presented a male patient with congenital pelvic AVM who complaint about perineal pain. We also discuss the use of image studies to evaluate the disease and the selection of different treatment choices.