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Case report


Massive Left-sided Congestive Colitis Due to Idiopathic Inferior Mesenteric Arteriovenous Malformation

Laura Martí Gelonch1Jose Maria Enríquez-Navascués2Tania Pastor Bonel1Yolanda Saralegui Ansorena2
1Departments of General Surgery, 2Coloproctology, Hospital Universitario Donostia, San Sebastián, Spain
Date of Submission: 29-Jul-2017, Date of Acceptance: 03-Sep-2017, Date of Web Publication: 17-Oct-2017.
Corresponding Author:
Corresponding Author

Laura Martí Gelonch

E-mail: lauramartig_@hotmail.com

Corresponding Author:
Corresponding Author

Laura Martí Gelonch

E-mail: lauramartig_@hotmail.com

DOI: 10.4103/jcis.JCIS_57_17 Facebook Twitter Google Linkedin

ABSTRACT


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.
Keywords: Arteriovenous Malformation, Congenital, Congestive Colitis, Inferior Mesenteric Trunk

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