Localized arteriovenous malformation of the bladder is extremely rare. When arteriovenous malformation is suspected, an angiogram and pelvic computed tomography or magnetic resonance imaging is essential to delineate the extent of the disease and to plan appropriate therapy. Common symptoms include pain, gross hematuria and acute urinary retention. This is a 60 year old male with previous history of unknown pelvic surgery and flow voids in the bladder base involving the seminal vesicles and prostate as well.
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