Intratesticular arteriovenous malformation

Case contributed by Praveen Jha , 26 Dec 2011
Diagnosis probable
Changed by Ammar Haouimi, 4 Sep 2020

Updates to Case Attributes

Presentation was changed:
A 20 year old male presented with a softSoft nodule in right testestestis, probably since last ten years or more, as he recollects.
Age changed from 20 to 20 years.
Body was changed:

PatientThe patient was assessed for testicular carcinoma markers, which was negative. Semen analysis was within normal limits. In view of sonographic features, the patient was advised for follow-up. PatientThe patient is not willing for any surgical intervention at present. ProvisionalA provisional diagnosis of intratesticular AV malformation was considered, in view of the predominantly vascular intratesticular lesion, with doppler features of AV malformation. While arterial feeders demonstrate low resistance arterial flow, draining channels are compressible, though pure venous waveform could not be appreciated.

EssentialThe essential differential diagnosis to be considered is intratesticular varicocele, which will have a venous waveform.

  • -<p>Patient was assessed for testicular carcinoma markers, which was negative. Semen analysis was within normal limits. In view of sonographic features, patient was advised for follow-up. Patient is not willing for any surgical intervention at present. Provisional diagnosis of intratesticular AV malformation was considered, in view of predominantly vascular intratesticular lesion, with doppler features of AV malformation. While arterial feeders demonstrate low resistance arterial flow, draining channels are compressible, though pure venous waveform could not be appreciated.</p><p>Essential differential diagnosis to be considered is intratesticular varicocele, which will have venous waveform.</p>
  • +<p>The patient was assessed for testicular carcinoma markers, which was negative. Semen analysis was within normal limits. In view of sonographic features, the patient was advised for follow-up. The patient is not willing for any surgical intervention at present. A provisional diagnosis of intratesticular AV malformation was considered, in view of the predominantly vascular intratesticular lesion, with doppler features of AV malformation. While arterial feeders demonstrate low resistance arterial flow, draining channels are compressible, though pure venous waveform could not be appreciated.</p><p>The essential differential diagnosis to be considered is intratesticular varicocele, which will have a venous waveform.</p>

Updates to Study Attributes

Findings was changed:

A well defined-defined nodular lesion is seen in the right testestestis, with an eccentric hyperechoic area with multiple tortuous vascular channels within. Predominantly arterial flow is seen in vessels with color-aliasing and spectral broadening. Few vascular channels are compressible.

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