Skip to main content
SpringerLink
Log in

Idiopathic Inferior Mesenteric Arteriovenous Fistula: A Rare Cause of Pulsatile Abdominal Mass

  • Case Report
  • Published:
Indian Journal of Surgery Aims and scope Submit manuscript

Abstract

Inferior mesenteric arteriovenous fistula (AVF) is an extremely rare vascular abnormality which may be idiopathic or secondary to previous trauma or surgery, and it may result in portal hypertension or ischemic colitis if left untreated. Imaging can help accurately diagnose visceral AVFs and create a vascular map to display the feeding artery and draining vein before the surgery; however, multidetector computed tomography (MDCT) angiography of inferior mesenteric AVF is not well documented in the literature. In this article, the authors report a case of inferior mesenteric AVF in a 48-year-old woman evaluated for left-sided abdominal pain and diagnosed preoperatively by MDCT angiography. Surgical excision of the AVF was successfully performed, and the postoperative course was uneventful.

This is a preview of subscription content, log in via an institution to check access.

Access this article

Log in via an institution

Price excludes VAT (USA)
Tax calculation will be finalised during checkout.

Instant access to the full article PDF.

Institutional subscriptions

Fig. 1
Fig. 2

Similar content being viewed by others

References

  1. Tomomi I, Yoshinori I, Norihide S, Masayuki H, Takehisa I (2005) A case of iatrogenic inferior mesenteric arteriovenous fistula. Jpn J Vasc Surg 14:597–600

    Google Scholar 

  2. Matsui A, Iwai K, Kawasaki R, Wada T, Mito Y, Doi T (2007) Transcatheter embolization of an inferior mesenteric arteriovenous fistula with frequent mucous diarrhea. Nihon Shokakibyo Gakkai Zasshi 104:194–199

    PubMed  Google Scholar 

  3. Kim IH, Kim DG, Kwak HS, Yu HC, Cho BH, Park HS (2008) Ischemic colitis secondary to inferior mesenteric arteriovenous fistula and portal vein stenosis in a liver transplant recipient. World J Gastroenterol 14:4249–4252

    Article  PubMed Central  PubMed  Google Scholar 

  4. Metcalf DR, Nivatvongs S, Andrews JC (2008) Ischemic colitis: an unusual case of inferior mesenteric arteriovenous fistula causing venous hypertension. Report of a case. Dis Colon Rectum 51:1422–1424

    Article  PubMed  Google Scholar 

  5. Türkvatan A, Ozdemir Akdur P, Akdoğan M, Cumhur T, Olçer T, Parlak E (2009) Inferior mesenteric arteriovenous fistula with ischemic colitis: Multidetector computed tomographic angiography for diagnosis. Turk J Gastroenterol 20:67–70

    PubMed  Google Scholar 

  6. Gorospe EC, Leggett CL, Sun G (2012) Inferior mesenteric arteriovenous malformation: an unusual cause of ischemic colitis. Ann Gastroenterol 25:165

    PubMed Central  PubMed  Google Scholar 

  7. Jeon DO, Park JS, Kim JE et al (2013) A case of traumatic inferior mesenteric arteriovenous fistula. Korean J Gastroenterol 62:296–300

    Article  PubMed  Google Scholar 

  8. Akgun V, Sari S, Verim S, Bozlar U (2013) Arteriovenous malformation of the inferior mesenteric artery in a patient with ischaemic colitis. BMJ Case Rep. doi:10.1136/bcr-2013-009565

    Google Scholar 

Download references

Conflict of Interest

The authors declare that they have no conflict of interest.

Author information

Authors and Affiliations

  1. Department of Radiology, Modarres Hospital, Shahid Beheshti University of Medical Sciences, Tehran, Iran

    Taraneh Faghihi Langroudi, Abbas Arjmand Shabestari, Reza Pourghorban & Ramin Pourghorban

Authors
  1. Taraneh Faghihi Langroudi
    View author publications

    You can also search for this author in PubMed Google Scholar

  2. Abbas Arjmand Shabestari
    View author publications

    You can also search for this author in PubMed Google Scholar

  3. Reza Pourghorban
    View author publications

    You can also search for this author in PubMed Google Scholar

  4. Ramin Pourghorban
    View author publications

    You can also search for this author in PubMed Google Scholar

Corresponding author

Correspondence to Ramin Pourghorban.

Rights and permissions

Reprints and permissions

About this article

Check for updates. Verify currency and authenticity via CrossMark

Cite this article

Faghihi Langroudi, T., Shabestari, A.A., Pourghorban, R. et al. Idiopathic Inferior Mesenteric Arteriovenous Fistula: A Rare Cause of Pulsatile Abdominal Mass. Indian J Surg 77 (Suppl 1), 84–86 (2015). https://doi.org/10.1007/s12262-014-1157-8

Download citation

  • Received:

  • Accepted:

  • Published:

  • Issue Date:

  • DOI: https://doi.org/10.1007/s12262-014-1157-8

Keywords

Search

Navigation