Cargando…

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...

Descripción completa

Detalles Bibliográficos
Autores principales: Gelonch, Laura Martí, Enríquez-Navascués, Jose Maria, Bonel, Tania Pastor, Ansorena, Yolanda Saralegui
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Medknow Publications & Media Pvt Ltd 2017
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
_version_ 1783276476256223232
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
work_keys_str_mv AT gelonchlauramarti massiveleftsidedcongestivecolitisduetoidiopathicinferiormesentericarteriovenousmalformation
AT enriqueznavascuesjosemaria massiveleftsidedcongestivecolitisduetoidiopathicinferiormesentericarteriovenousmalformation
AT boneltaniapastor massiveleftsidedcongestivecolitisduetoidiopathicinferiormesentericarteriovenousmalformation
AT ansorenayolandasaralegui massiveleftsidedcongestivecolitisduetoidiopathicinferiormesentericarteriovenousmalformation