Open AccessAcute massive congestive ischaemic colitis related to inferior mesenteric arteriovenous malformation
Author(s) -
B Coulier,
Jean-François De Wispelaere,
Isabelle Bueres,
Frédéric Pierard,
F C Deprez,
P Maldague,
Marc van Hoof,
Isabelle Gielen
Publication year - 2016
Publication title -
bjr case reports
Language(s) - English
Resource type - Journals
ISSN - 2055-7159
DOI - 10.1259/bjrcr.20150275
Subject(s) - medicine , arteriovenous malformation , inferior mesenteric artery , radiology , embolization , decompensation , colonoscopy , abdominal pain , superior mesenteric artery , heart failure , iliac fossa , surgery , cardiology , colorectal cancer , cancer
We report a very rare case of acute congestive ischaemic colitis of the left colon caused by brutal decompensation of an uncommon arteriovenous malformation (AVM) in the territory of the inferior mesenteric artery (IMA) in a 45-year-old male patient. The patient presented with severe abdominal pain in the left iliac fossa and abundant mucoid stools. The diagnosis of congestive colitis was made by optical colonoscopy but the full diagnosis of the responsible AVM in the IMA territory was made by contrast-enhanced multidetector CT scan combined with colour Doppler ultrasound. Two successive attempts at selective embolization failed to resolve the symptoms and finally, extensive surgery was necessary. The complete imaging findings of the case are presented and the characteristic features of uncommon AVMs and fistulas of the IMA territory are briefly reviewed.