Superior mesenteric arteriovenous fistula presenting as gastrointestinal bleeding: case report and literature review

被引:9
作者
Wang, Chong [1 ]
Zhu, Xuan [1 ]
Guo, Gui-Hai [1 ]
Shu, Xu [1 ]
Wang, Jian [1 ]
Zhu, Yin [1 ]
Li, Bi-Min [1 ]
Wang, Ying [1 ]
机构
[1] Nanchang Univ, Affiliated Hosp 1, Dept Gastroenterol, Nanchang, Jiangxi, Peoples R China
关键词
Superior mesenteric arteriovenous fistula (SMAVF); Endoscopic variceal ligation (EVL); Covered stent; RARE CAUSE; EMBOLIZATION;
D O I
10.17235/reed.2015.3852/2015
中图分类号
R57 [消化系及腹部疾病];
学科分类号
摘要
Superior mesenteric arteriovenous fistula (SMAVF) is a rare vascular disorder usually following penetrating abdominal trauma or gastrointestinal surgery. Percutaneous endovascular treatment such as embolization, has been widely used to treat this disease. We report a patient, who was presented with melena at the onset of his symptoms, then an acute hematemesis in shock. A SMAVF was diagnosed on an angiogram after a large mesenteric vein was seen on CT. The patient had a successful emergency endoscopic variceal ligation (EVL) to stop bleeding. Then the patient received fistula embolization with covered stent.
引用
收藏
页码:503 / 507
页数:5
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