Open AccessMassive Left-sided Congestive Colitis Due to Idiopathic Inferior Mesenteric Arteriovenous Malformation
Author(s) -
Laura Martí Gelonch,
Jose Maria Enríquez-Navascués,
Tania Pastor Bonel,
Yolanda Saralegui Ansorena
Publication year - 2017
Publication title -
journal of clinical imaging science
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.279
H-Index - 18
eISSN - 2156-7514
pISSN - 2156-5597
DOI - 10.4103/jcis.jcis_57_17
Subject(s) - medicine , inferior mesenteric artery , arteriovenous malformation , abdominal pain , radiology , abdominal distension , superior mesenteric artery , surgery , trunk , angiography , colonoscopy , ischemic colitis , colitis , colorectal cancer , biology , cancer , ecology
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.