Abstract
Mesenteric arteriovenous fistulas are a rare entity. Those involving the inferior mesenteric artery are exceptionally rare with only 13 cases reported in the English literature,1,2 of which only one has been associated with ischemic colitis. Ischemic colitis is a well-recognized clinical entity that typically occurs spontaneously in elderly patients and is not associated with a specific clinical presentation.3 We report a case of ischemic colitis caused by venous hypertension associated with a congenital inferior mesenteric arteriovenous fistula. To our knowledge, this is the first reported case of a mesenteric arteriovenous fistula causing ischemic colitis in a patient without previous gastrointestinal surgery or trauma.
References
Okada K, Furusyo N, Sawayama Y, et al. Inferior mesenteric arteriovenous fistula eight years after sigmoidectomy. Intern Med 2002;41:543–8.
Nemcek AA Jr, Yakes W. Inferior mesenteric artery-to-inferior mesenteric vein fistulous connection. J Vasc Interv Radiol 2005;16:1179–86.
Medina C, Vilaseca J, Videla S. Outcome of patients with ischemic colitis: review of 53 cases. Dis Colon Rectum 2004;47:180–4.
Brandt LJ, Boley SJ. Colonic ischemia. Surg Clin North Am 1992;72:203–9.
MacDonald PH. Ischaemic colitis. Best Prac Res Clin Gastroenterol 2002;16:51–61.
Shibata M, Nakamura H, Abe S. Ischemic colitis caused by strict dieting in an 18-year-old female. Dis Colon Rectum 2002;45:425–8.
Longo W. Colonic ischemia. In: Fazio V, Church J, Delaney C. Current therapy in colon and rectal surgery. Philadelphia: Elsevier Mosby, 2005:415–20.
Gandhi S, Hanson M, Vernava A. Ischemic colitis. Dis Colon Rectum 1996;39:88–100.
Park W, Gloviczki P, Cherry KJ, et al. Contemporary management of acute mesenteric ischemia: factors associated with survival. J Vasc Surg 2002;35:445–52.
Greenwald D, Brandt L. Colonic ischemia. J Clin Gastroenteol 1998;27:122–8.
Capron JP, Gineston JL, Remond A. Inferior mesenteric arteriovenous fistula associated with portal hypertension and acute ischemic colitis. Successful occlusion by intraarterial embolization with steel coils. Gastroenterology 1984;86:351–5.
Puglionisi A, Di Giovanni V, Snider F, et al. A propos d’un cas de fistule arterio-veineuse hepatico-portale. Problemes de physiopathologie et clinique et revue de la literature. J Chir (Paris) 1980;117:607–19.
Author information
Authors and Affiliations
Corresponding author
Additional information
Reprints are not available.
About this article
Cite this article
Metcalf, D.R., Nivatvongs, S. & Andrews, J.C. Ischemic Colitis: An Unusual Case of Inferior Mesenteric Arteriovenous Fistula Causing Venous Hypertension. Report of a Case. Dis Colon Rectum 51, 1422–1424 (2008). https://doi.org/10.1007/s10350-008-9377-2
Received:
Revised:
Accepted:
Published:
Issue Date:
DOI: https://doi.org/10.1007/s10350-008-9377-2