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Massive Left-sided Congestive Colitis Due to Idiopathic Inferior Mesenteric Arteriovenous Malformation
Arteriovenous malformations (AVM) of the inferior mesenteric artery are rare. They may be primary (congenital or idiopathic) or secondary (acquired) after trauma or of iatrogenic origin. Of the abdominal AVM, the inferior mesenteric trunk is the least commonly involved. Most reported cases are of ia...
Autores principales: | , , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
Medknow Publications & Media Pvt Ltd
2017
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Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5672656/ https://www.ncbi.nlm.nih.gov/pubmed/29142782 http://dx.doi.org/10.4103/jcis.JCIS_57_17 |
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author | Gelonch, Laura Martí Enríquez-Navascués, Jose Maria Bonel, Tania Pastor Ansorena, Yolanda Saralegui |
author_facet | Gelonch, Laura Martí Enríquez-Navascués, Jose Maria Bonel, Tania Pastor Ansorena, Yolanda Saralegui |
author_sort | Gelonch, Laura Martí |
collection | PubMed |
description | Arteriovenous malformations (AVM) of the inferior mesenteric artery are rare. They may be primary (congenital or idiopathic) or secondary (acquired) after trauma or of iatrogenic origin. Of the abdominal AVM, the inferior mesenteric trunk is the least commonly involved. Most reported cases are of iatrogenic origin, resulting from colon surgery. Only 17 cases have been described and published in the literature. The objective of this work is to make known a case treated in our center. We present a case of 73-year old male, who came to the emergency service with symptoms of abdominal distension, pain lasting 48 hours along with months of diarrhoea. CT scan and an abdominal CT angiography showed a massive left-sided congestive colitis due to idiopathic inferior mesenteric arteriovenous malformation. In our case, the decision was to carry out the treatment in two stages. Embolisation was performed in the first stage in order to decrease the blood flow and the risk of intraoperative bleeding, followed by resective surgery of the affected colon. |
format | Online Article Text |
id | pubmed-5672656 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2017 |
publisher | Medknow Publications & Media Pvt Ltd |
record_format | MEDLINE/PubMed |
spelling | pubmed-56726562017-11-15 Massive Left-sided Congestive Colitis Due to Idiopathic Inferior Mesenteric Arteriovenous Malformation Gelonch, Laura Martí Enríquez-Navascués, Jose Maria Bonel, Tania Pastor Ansorena, Yolanda Saralegui J Clin Imaging Sci Case Report Arteriovenous malformations (AVM) of the inferior mesenteric artery are rare. They may be primary (congenital or idiopathic) or secondary (acquired) after trauma or of iatrogenic origin. Of the abdominal AVM, the inferior mesenteric trunk is the least commonly involved. Most reported cases are of iatrogenic origin, resulting from colon surgery. Only 17 cases have been described and published in the literature. The objective of this work is to make known a case treated in our center. We present a case of 73-year old male, who came to the emergency service with symptoms of abdominal distension, pain lasting 48 hours along with months of diarrhoea. CT scan and an abdominal CT angiography showed a massive left-sided congestive colitis due to idiopathic inferior mesenteric arteriovenous malformation. In our case, the decision was to carry out the treatment in two stages. Embolisation was performed in the first stage in order to decrease the blood flow and the risk of intraoperative bleeding, followed by resective surgery of the affected colon. Medknow Publications & Media Pvt Ltd 2017-10-17 /pmc/articles/PMC5672656/ /pubmed/29142782 http://dx.doi.org/10.4103/jcis.JCIS_57_17 Text en Copyright: © 2017 Journal of Clinical Imaging Science http://creativecommons.org/licenses/by-nc-sa/3.0 This is an open access article distributed under the terms of the Creative Commons Attribution-NonCommercial-ShareAlike 3.0 License, which allows others to remix, tweak, and build upon the work non-commercially, as long as the author is credited and the new creations are licensed under the identical terms. |
spellingShingle | Case Report Gelonch, Laura Martí Enríquez-Navascués, Jose Maria Bonel, Tania Pastor Ansorena, Yolanda Saralegui Massive Left-sided Congestive Colitis Due to Idiopathic Inferior Mesenteric Arteriovenous Malformation |
title | Massive Left-sided Congestive Colitis Due to Idiopathic Inferior Mesenteric Arteriovenous Malformation |
title_full | Massive Left-sided Congestive Colitis Due to Idiopathic Inferior Mesenteric Arteriovenous Malformation |
title_fullStr | Massive Left-sided Congestive Colitis Due to Idiopathic Inferior Mesenteric Arteriovenous Malformation |
title_full_unstemmed | Massive Left-sided Congestive Colitis Due to Idiopathic Inferior Mesenteric Arteriovenous Malformation |
title_short | Massive Left-sided Congestive Colitis Due to Idiopathic Inferior Mesenteric Arteriovenous Malformation |
title_sort | massive left-sided congestive colitis due to idiopathic inferior mesenteric arteriovenous malformation |
topic | Case Report |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5672656/ https://www.ncbi.nlm.nih.gov/pubmed/29142782 http://dx.doi.org/10.4103/jcis.JCIS_57_17 |
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