Abstract

We report a rare case of a patient with known Child Class B type alcoholic cirrhosis who developed bleeding from an arteriovenous malformation (AVM) of scrotum after suffering a traumatic pelvic fracture. The patient subsequently developed hemorrhagic shock secondary to spontaneous bleeding from the scrotal AVM. Emergent pelvic angiogram with selective embolization was successful in controlling the bleeding. During four and half years of follow up, the patient has required two catheter directed embolization procedures for small degrees of recurrent scrotal bleeding (at four and 36 post injury months). There have been no recurrent episodes of bleeding in the sixteen months since the last embolization.

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