Malformação arteriovenosa da artéria hipogástrica — A propósito de um caso clínico

Abstract

Congenital arteriovenous malformations (AVMs) can occur in any vascular territory but their pelvic location is rare in male patients, and presents a difficult therapeutic challenge.The authors present a case report of a 72 year old man, who presented with symptoms of dysuria, hematuria, and pelvic discomfort. The study by computed tomography (CT) detected the presence of a pelvic AVM with feeding vessels from the left hypogastric artery. The patient underwent transcatheter selective embolization and, due to recurrent symptoms, percutaneous procedure was repeated one year after. Patient has been followed anually and remains asymptomatic and the CT demonstrated reduction in AVM size.In this report, we will discuss the therapeutic approach to congenital pelvic malformations.