CT
Axial C+ arterial phase
Coronal C+ arterial phase
Sagittal C+ arterial phase
Post-contrast abdominal CT scan reveals a high flow pelvic AVM fed mainly by a prominent inferior mesenteric artery and drained by a very large tortuous vein (inferior mesenteric vein) that ended in the confluence of the splenic and the superior mesenteric vein. Uterine, vaginal, and rectal involvement is seen.
Intrathecal shunt for relieving intracranial hypertension seen in the thoracolumbar region ended subcutaneously in the right side of the anterior abdominal wall.