Inferior mesenteric arteriovenous fistula

Seunghun Lee; Jooweon Chung; Byungkwon Ahn; Seunghyun Lee; Sunguhn Baek

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자료유형: 학술저널

저자정보: Seunghun Lee (Kosin University College of Medicine) Jooweon Chung (Kosin University College of Medicine) Byungkwon Ahn (Kosin University College of Medicine) Seunghyun Lee (Kosin University College of Medicine) Sunguhn Baek (Kosin University College of Medicine)

저널정보: 대한외과학회 Annals of Surgical Treatment and Research Annals of Surgical Treatment and Research Vol.93 No.4

발행연도: 2017.10

수록면: 225 - 228 (4page)

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Arteriovenous fistula (AVF) involving the inferior mesenteric artery and vein is very rare with only 33 cases described in the literature and may be of congenital or acquired (iatrogenic or traumatic) or idiopathic etiology. The pathophysiology of AVF that acts as a left-to-right shunt has accounted for clinical signs and symptoms associated with ischemic colitis, portal hypertension, and heart failure. A low incidence and nonspecific clinical signs and symptoms such as abdominal pain, thrill and mass, lower and upper gastrointestinal bleeding make it difficult to establish a diagnosis of inferior mesenteric AVF. Diagnosis of inferior mesenteric AVF is usually established by radiological or intraoperative examination. We report a case of idiopathic inferior mesenteric AVF causing ischemic colitis in a 56-year-old man that was diagnosed preoperatively by multidetector computed tomography and angiography and successfully treated by surgical resection.

#Arteriovenous fistula #Inferior mesenteric artery #Ischemic colitis #Portal hypertension

참고문헌 (10)

참고문헌 신청

[학술지(정기간행물)] - Athanasiou A / 2014 / Inferior mesenteric arteriovenous fistula : case report and world-literature review / World J Gastroenterol 20 : 8298 ~ 8303

[학술지(정기간행물)] - Justaniah AI / 2013 / Congenital inferior mesenteric arteriovenous malformation presenting with ischemic colitis : endovascular treatment / J Vasc Interv Radiol 24 : 1761 ~ 1763

[학술지(정기간행물)] - Peter Hendy / 2018 / Curative embolization of an inferior mesenteric arteriovenous fistula causing ischaemic proctosigmoiditis / ANZ Journal of Surgery 88 (4) : E340 ~ E341

[학술지(정기간행물)] - Faghihi Langroudi T / 2015 / Idiopathic inferior mesenteric arteriovenous fistula:a rare cause of pulsatile abdominal mass / Indian J Surg 77 (Suppl 1) : 84 ~ 86

[학술지(정기간행물)] - Noor M / 2016 / Arteriovenous malformation of the inferior mesenteric artery presenting as ischemic colitis / Vasc Med 21 : 555 ~ 557

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