https://doi.org/10.4081/aiua.2016.4.317

Pseudoaneurysm with arteriovenous fistula of the prostate after pelvic trauma: Ultrasound imaging

Vol. 88 No. 4 (2016)
Submitted: January 10, 2017
Accepted: January 10, 2017
Published: December 30, 2016
Prostate, Pseudoaneurysm, Arteriovenous fistula, Transrectal ultrasonography, Pelvic trauma
Abstract Views: 1580
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Authors

Andrea B. Galosi
galosiab@yahoo.it
Institute of Urology, Department of Specialized Clinical Sciences and Odontostomatology, Marche Polytechnic University, Azienda Ospedaliero-Universitaria, Ancona, Italy.
Camilla Capretti
Institute of Urology, Department of Specialized Clinical Sciences and Odontostomatology, Marche Polytechnic University, Azienda Ospedaliero-Universitaria, Ancona, Italy.
Luca Leone
Institute of Urology, Department of Specialized Clinical Sciences and Odontostomatology, Marche Polytechnic University, Azienda Ospedaliero-Universitaria, Ancona, Italy.
Marco Tiroli
Institute of Urology, Department of Specialized Clinical Sciences and Odontostomatology, Marche Polytechnic University, Azienda Ospedaliero-Universitaria, Ancona, Italy.
Daniele Cantoro
Institute of Urology, Department of Specialized Clinical Sciences and Odontostomatology, Marche Polytechnic University, Azienda Ospedaliero-Universitaria, Ancona, Italy.
Massimo Polito
Institute of Urology, Department of Specialized Clinical Sciences and Odontostomatology, Marche Polytechnic University, Azienda Ospedaliero-Universitaria, Ancona, Italy.
Pseudoaneurysm (PA) associated with an arteriovenous fistula (AVF) of the internal pudendal artery branches are very uncommon. We report a case of post-traumatic PA with AVF connected to Santorini plexus. Diagnosis was made with trans-rectal ultrasound (TRUS) after recurrent hematuria. TRUS reported a 1.7 × 1.4 × 1.5 cm anechoic area, on anterior prostate apex close to Santorini plexus. The use of color Doppler in this area revealed high flow velocity that was indicative for AVF. The feeding artery was a distal branch of the left pudenda artery. After selective embolization was observed complete occlusion of the feeding branches and disappearance of PA with AVF. Prostate PA with concomitant symptomatic AVF detected with TRUS has not yet described in literature after pelvic trauma and represents complex diagnostic challenges. This case report suggests that the use of TURS and color Doppler can provide an important diagnostic and follow-up to address the clinical suspicion of occult vascular injuries using a noninvasive approach.

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How to Cite

Galosi, A. B., Capretti, C., Leone, L., Tiroli, M., Cantoro, D., & Polito, M. (2016). Pseudoaneurysm with arteriovenous fistula of the prostate after pelvic trauma: Ultrasound imaging. Archivio Italiano Di Urologia E Andrologia, 88(4), 317–319. https://doi.org/10.4081/aiua.2016.4.317

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