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Pelvic ateriovenous malformation leading to repeated episodes of haematuria in an adult with history of paralytic poliomyelitis: a case report 


MOJ Clinical & Medical Case Reports
Nirmal Prasad Neupane,1 Keshika Koirala2

Abstract

1.1 Background: Pelvic arteriovenous malformations are rare and can be either congenital or acquired in origin. Pelvic arteriovenous malformations, when large, can present with number of symptoms such as pelvic pain, haematuria, dysuria, urinary retention, impotence and rectal tenesmus. Proper imaging can guide the treatment of these lesions and hence prevent the complications associated with them. 
1.2 Case presentation: We present a case of 39 year old male with the chief complaint of pelvic discomfort and on and off haematuria. It was not associated fever or preceding trauma. Patent had history of childhood paralytic poliomyelitis. Because of the deranged renal function, MR evaluation of pelvis was done which demonstrated arteriovenous malformation abutting the right lateral urinary bladder wall, seminal vesicle and prostate.
1.3 Conclusion: Though pelvic vascular malformations are rare, they when occur, can lead to repeated vague pelvic symptoms. Proper imaging with early diagnosis and treatment can help in significantly reducing the mortality and morbidity associated with these lesions

Keywords

case report, pelvic arteriovenous malformation, haematuria, urinary bladder wall thickening, paralytic poliomyelitis, urinary bladder wall, seminal vesicle

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