PMC7132047_01
Angio-CT MIP of the lower abdomen and the cranial portion of inferior limbs: See the presence of a raw agglomerate of enlarged blood vessels located in the left-side of the scrotum and contralateral dislocation of the right testicle.
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The exam results indicated the presence of a raw agglomerate of enlarged blood vessels located in the left-1 side scrotal portion that was causing a contralateral dislocation of the right testicle (Fig. 1).
Angio-CT SSD reconstruction swowing normal vasculararisation of the iliofemoral area and the selective embolisation with Glue deposition in the A-V malformation and in the arterial ramifications coming from the right femoral artery.
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Two days after the procedure, a second embolization was performed via a left transfemoral approach to obtain a further reduction in the vascularization of the tumefaction, combined with the selective catheterization of the arterial ramifications coming from the right femoral and right hypogastric arteries (Fig. 2).
A. Right hemiscrotum aspect after necrotic tissue asportation. B. Necrotic skin tissue removed. C. Six monts appearance after the procedure. Note the volume reduction of the scrotum.
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To avoid the development of a serious form of infected necrosis, such as Fournier's gangrene, the patient underwent repeat surgery and debridement of the wide necrotic skin tissue (Fig. 3A B).