Mesenteric Arteriovenous Fistula After a Gunshot Wound

Iatrogenic arteriovenous fistula of the superior mesenteric vessels is rare, with only 22 cases being documented. We report herein a case of a 63-year-old man with an iatrogenic arteriovenous fistula which developed after a small bowel resection for intestinal tuberculosis. The patient was admitted to our hospital for a gastric ulcer, at which time an ultrasonogram demonstrated cystic dilatation of the superior mesenteric vein, proving to be an arteriovenous fistula of the mesenteric vessels. An angiogram of the superior mesenteric vessels subsequently confirmed this diagnosis and resection of the fistula was performed, followed by an uneventful recovery. Iatrogenic mesenteric arteriovenous fistula with no presenting symptoms, as in our case, is uncommon and surgery performed before the development of associated portal hypertension should achieve good results. A review of the literature follows the report of this case.

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Congenital mesenteric arterio-portal fistula: Report of a case

Loria

Tsuchiya

Harada

et al. 1988

The Japanese Journal of Surgery

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A male patient with an arterio-portal fistula resulting from a mesenteric arteriovenous malformation, who developed portal hypertension and liver cirrhosis, is presented herein. The malformation was considered to be congenital in origin and its location made any ablative surgical procedure impossible. Such alternative treatments as ligation of the afferent arteries, followed by transarterial embolization were therefore given, but both were unsuccessful. We also present a review of the literatures of mesenteric arteriovenous fistula. Radical surgical approach for this rare entity is proposed. The case reported here as related to mesenteric arteriovenous communications of congenital origin is the seventh such case published, and the first which was ever found to be located in the trunk of the superior mesenteric artery.

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Mesenteric Arteriovenous Fistula After a Gunshot Wound

Abstract: We are pleased to accept your paper, "Mesenteric Arteriovenous Fistula after a Gunshot Wound," for publication in The Journal of Trauma. It has been reviewed and approved by two editorial consultants, in keeping with our policy.

Cited by 9 publications

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Presentation and Perioperative Management of Arterioportal Fistulas

Presentation and Perioperative Management of Arterioportal Fistulas

Superior mesenteric arteriovenous fistula: Report of a case and review of the literature

Congenital mesenteric arterio-portal fistula: Report of a case

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