A Rare Case of Clitoral Arterial-Cavernous Shunt Presenting as Urethral Bleeding Treated with Embolization

A 50-year-old woman presented with recurrent urethral bleeding. Initial dynamic computed tomography scans revealed abnormal enhancement in the corpus cavernosum of the clitoris, supplied by the right obturator artery. Subsequent magnetic resonance imaging indicated slight swelling of the corpus cavernosum without intricate vascular tangles suggestive of a nidus. A diagnosis of a clitoral arterial-cavernous shunt was suspected. Treatment involved successful transarterial embolization. Although clitoral arterial-cavernous shunts are uncommon, they can be effectively treated with targeted interventional approaches guided by accurate diagnostic imaging.