Pelvic arteriovenous malformation with iliac vein thrombosis. A case report.

BACKGROUND: Congenital arteriovenous malformations (AVMs) of the pelvis are relatively rare and are difficult to treat because of diffuse extension and the number of feeding vessels. METHODS: We describe a patient with a pelvic AVM with shunts who also developed iliac vein thrombosis. The AVM was diagnosed during evaluation of what had initially appeared to be a venous stasis ulcer. RESULTS: The ulcer was successfully treated by Palma s procedure, partial resection of the feeding vessels, and transcatheter arterial embolization. CONCLUSIONS: Coexistence of a pelvic AVM with an iliac vein thrombosis has not previously been reported.