Open AccessIschemic colitis secondary to inferior mesenteric arteriovenous fistula and portal vein stenosis in a liver transplant recipient
Author(s) -
In Hee Kim,
Dae Ghon Kim,
Hyo Sung Kwak,
Hee Chul Yu,
Baik Hwan Cho,
Ho Sung Park
Publication year - 2008
Publication title -
world journal of gastroenterology
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 1.427
H-Index - 155
eISSN - 2219-2840
pISSN - 1007-9327
DOI - 10.3748/wjg.14.4249
Subject(s) - medicine , liver transplantation , arteriovenous fistula , portal hypertension , stenosis , radiology , inferior mesenteric vein , mesenteric ischemia , ischemic colitis , percutaneous , arteriovenous malformation , inferior mesenteric artery , abdominal pain , portal venous pressure , mesenteric vein , fistula , superior mesenteric artery , superior mesenteric vein , surgery , ischemia , transplantation , colitis , portal vein , cirrhosis
Arteriovenous fistula (AVF) involving the inferior mesenteric vessels is rare, and the affected patients usually present with abdominal pain, mass, or features of established portal hypertension. Colonic ischemia is a less common and more serious manifestation of AVF. We report a case of ischemic colitis secondary to inferior mesenteric AVF in a patient who underwent a previous liver transplantation, subsequently developed portal vein stenosis, and then presented with acute lower gastrointestinal bleeding. He underwent percutaneous transhepatic placement of a portal vein stent and left colectomy.