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Superior mesenteric arteriovenous fistula: Report of a case and review of the literature

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Abstract

Iatrogenic arteriovenous fistula of the superior mesenteric vessels is rare, with only 22 cases being documented. We report herein a case of a 63-year-old man with an iatrogenic arteriovenous fistula which developed after a small bowel resection for intestinal tuberculosis. The patient was admitted to our hospital for a gastric ulcer, at which time an ultrasonogram demonstrated cystic dilatation of the superior mesenteric vein, proving to be an arteriovenous fistula of the mesenteric vessels. An angiogram of the superior mesenteric vessels subsequently confirmed this diagnosis and resection of the fistula was performed, followed by an uneventful recovery. Iatrogenic mesenteric arteriovenous fistula with no presenting symptoms, as in our case, is uncommon and surgery performed before the development of associated portal hypertension should achieve good results. A review of the literature follows the report of this case.

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References

  1. Mobitz D, Finne B (1960) Postoperative arteriovenous aneurysm in mesentery after small bowel resection. JAMA 173:42–44

    Google Scholar 

  2. Munnel ER, Mota CR, Thompson WB (1960) Iatrogenic arteriovenous fistula: Report of a case involving the superior mesenteric vessels. Am Surg 26:738–744

    Google Scholar 

  3. Reams GB (1960) A middle colic arteriovenous fistula developing as a postgastrectomy complication. Arch Surg 81:757–760

    Google Scholar 

  4. Durham MW, Robnett AH, Harper HP, Yehel R (1962) Arteriovenous fistula of the mesenteric vessels. West J Surg 70:9–11

    Google Scholar 

  5. Taylor RMR, Douglas AP, Hacking PM, Walker FC (1965) Traumatic fistula between a main branch of the superior mesenteric artery and vein. Am J Med 38:641–645

    Google Scholar 

  6. Currin JF, Metcalf BH (1966) Postcolectomy arteriovenous fistula. Gastroenterology 46:352–355

    Google Scholar 

  7. Grafe WR, Steinberg I (1966) Superior mesenteric arteriovenous fistula following small bowel resection. Gastroenterology 51:231–235

    Google Scholar 

  8. Ganshirt LW, Weaver FE, Olander GA (1967) Mesenteric arteriovenous fistula: Review of the literature and a report of a case. Vasc Surg 1:82–85

    Google Scholar 

  9. Warter J, Kieny R, Gillet B, Storck D, Hoffmann N (1969) Fistule artério-veineuse mésentérique après résection partielle de 1-'intestin grêle. Ann Méd Interne 120:185–191

    Google Scholar 

  10. Van Way CW, Crane JM, Riddell DH, Foster JH (1971) Arteriovenous fistula in the portal circulation. Surgery 70:876–890

    Google Scholar 

  11. Metzger DG, Hamilton RF, Stephenson DV (1972) Mesenteric arteriovenous fistula: Unusual cause of distal gastrointestinal bleeding. Am J Surg 124:767–769

    Google Scholar 

  12. Paloyan D, Collins PA, Washburn FP (1974) Superior mesenteric arteriovenous fistula. Am Surg 40:481–484

    Google Scholar 

  13. Lee KR, Kishore P, Hardin CA (1974) Postsurgical arteriovenous fistula: Acquired A-V fistula of the mesentery. J Kansas Med Soc 75:87–90

    Google Scholar 

  14. Rossi P, Carillo FJ, Alfidi RJ, Ruzika FF (1974) Iatrogenic arteriovenous fistula. Radiology 111:47–51

    Google Scholar 

  15. Wakabayashi T, Odagiri H, Eguchi T, Katayama K, Ogai T, Yanagida K (1976) Arteriovenous fistula of the superior mesenteric vessels after small bowel resection: Report of a case. J Med Soc Toho Jpn 24:292–297

    Google Scholar 

  16. Meyer C, Kauffman JP, Keller D, Hollender LF (1980) Les fistules artério-veineuses mésentériques supérieures post-opératoires: A propos d'un cas. J Chir 117:579–582

    Google Scholar 

  17. Diehl JT, Beven EG (1982) Arteriovenous fistulas of the mesenteric vessels: Report of a case and review of the literature. J Cardiovasc Surg 23:334–337

    Google Scholar 

  18. Uflacker R, Saadi J (1982) Transcatheter embolization of superior mesenteric arteriovenous fistula. AJR 139:1212–1214

    Google Scholar 

  19. Benedetto JC, Liszewski RF (1988) Superior mesenteric arteriovenous fistula: Case report and literature review. J AOA 88:517–520

    Google Scholar 

  20. Matsunaga N, Hayashi K, Moro H, Iwano T, Taniguchi T, Nakao S (1988) Mesenteric arteriovenous shunt associated with thrombosis of the portal venous system: Case report. Cardiovasc Intervent Radiol 11:281–284

    Google Scholar 

  21. Donnell ST, Hudson MJK (1988) Iatrogenic superior mesenteric arteriovenous fistula: Report of a case and review of the literature. J Vasc Surg 8:335–338

    Google Scholar 

  22. Bröhl F (1990) Mesenteric arteriovenous fistula. A rare complication following intestinal resection. Chirurg 61:203–205

    Google Scholar 

  23. Rabhan NB, Guillebeau JG, Brachney EL (1962) Arteriovenous fistula of the superior mesenteric vessels after a gunshot wound. N Engl J Med 266:603–605

    Google Scholar 

  24. Summer RG, Kistler PC, McIntosh HD (1963) Recognition and surgical repair of superior mesenteric arteriovenous fistula. Circulation 27:943–950

    Google Scholar 

  25. Spellman MW, Mandel A, Freeman HP, Masumi RA (1967) Successful repair of an arteriovenous fistula between the superior mesenteric vessels secondary to a gunshot wound. Ann Surg 165:458–463

    Google Scholar 

  26. Varner JE, Oliver RI (1969) Superior mesenteric arteriovenous fistula. Ann Surg 170:862–865

    Google Scholar 

  27. Forbes HW, Thompson CQ, Smith JW (1969) Superior mesenteric arteriovenous fistula after a gunshot wound. J Trauma 9:806–811

    Google Scholar 

  28. Smith RB, Stone HH (1970) Traumatic arteriovenous fistula involving the portal venous system. Am J Surg 119:570–573

    Google Scholar 

  29. Tanenbaum B, Pochaczevsky R, Levowitz BS, Richter RM (1970) Traumatic mesentric arteriovenous fistula. Br J Radiol 43:726–729

    Google Scholar 

  30. Smith CJD (1971) Recognition and treatment of a mesenteric arteriovenous fistula at primary laparotomy for a loin stab wound. Med J Aust 1:747–748

    Google Scholar 

  31. Bole P, Andronaco JT, Purdy R (1973) Superior mesenteric arteriovenous fistula secondary to a gunshot wound: A case report and review of the literature. J Cardiovasc Surg 14:456–459

    Google Scholar 

  32. Brunner JH, Stanley RJ (1973) Superior mesenteric arteriovenous fistula: Report of a case with increased systolic flow. JAMA 223:316–318

    Google Scholar 

  33. Nicholas GG, Lane MF (1974) Traumatic mesenteric artery-superior mesenteric vein fistula. J Trauma 14:344–347

    Google Scholar 

  34. Smith GR, Northrop CH (1976) Stab wound causing mesenteric-portal arterio-portal fistula: An usual case with a spontaneous closure. J Trauma 16:408–410

    Google Scholar 

  35. Wood M, Nykamp PW (1980) Traumatic arteriovenous fistula of the superior mesenteric vessels. J Trauma 20:378–382

    Google Scholar 

  36. Deitrick J (1990) Traumatic superior mesentric artery-portal fistula. Ann Vasc Surg 4:72–76

    Google Scholar 

  37. Rosenthal D, Ellison RG Jr, Luke JP (1987) Traumatic superior mesenteric arteriovenous fistula: Report of a case and review of the literature. J Vasc Surg 5:486–491

    Google Scholar 

  38. Radin DR, Allgood MR, Johnson MB (1989) CT diagnosis of superior mesenteric arteriovenous fistula. J Comput Assist Tomogr 13:721–723

    Google Scholar 

  39. Takehara H, Komi N, Hino M (1988) Congenital arteriovenous fistula of the superior mesenteric vessels. J Pediatr Surg 23:1029–1031

    Google Scholar 

  40. Lee HC, Yang YC, Shih SL, Chiang HJ (1989) Aneurysmal dilatation of the portal vein. J Pediatr Gastroenterol Nutr 8:387–389

    Google Scholar 

  41. Desai SB, Modhe JM, Aulakh BG, Ravi R, Sukthankar RU, Pardiwalla BB (1987) Percutaneous transcatheter steel-coil embolization of a large proximal post-traumatic superior mesenteric arteriovenous fistula. J Trauma 27:1091–1094

    Google Scholar 

  42. Reed JK, McGiin RF, Gorman JF, Thomford NR (1986) Traumatic mesenteric arteriovenous fistula presenting as the superior mesenteric artery syndrome. Arch Surg 1–21:1209

    Google Scholar 

  43. Hennessy OF, Gibson RN, Allison DJ (1986) Use of giant steel coils in the therapeutic embolization of a superior mesenteric artery-portal vein fistula. Cardiovasc Intervent Radiol 9:42–45

    Google Scholar 

  44. Du Toit DF, Rademan F (1987) Traumatic superior mesenteric arteriovenous fistula: A case report. SAMJ 71:587–588

    Google Scholar 

  45. Beck VB, Daniel H (1988) Iatrogene mesenteriale AV-fistel nach magenresektion. Fortshr Geb Röntgenstr. Nuklearmed Erganzungsband 148:89–90

    Google Scholar 

  46. Strodel WE, Eckhauser FE, Lemmer JH, Whitehouse WM, Williams DM (1987) Presentation and perioperative management of arterioportal fistulas. Arch Surg 122:563–571

    Google Scholar 

  47. Anderson RD, Liebeskind A, Lowman RM (1972) Arteriovenous fistula of the mesentery. Am J Gastroenterol 57:453–458

    Google Scholar 

  48. Knox M, Chuang VP, Stewart MT (1985) Superior mesenteric aneurysm and arteriovenous fistula: Angiographic and CT features. AJR 145:383–384

    Google Scholar 

  49. Loria LE, Tsuchiya R, Harada N (1988) Congenital mesenteric arterio-portal fistula: Report of a case. Jpn J Surg 18:351–358

    Google Scholar 

  50. Imbert P, Cardon JM, Mathieu JP, Touati Y (1983) Plaie de L'aorte et de la veine caveinférieure compliquée secondairement d'-une fistule artério-veineuse mésentérique supérieure. Chirurgie 109:47–51

    Google Scholar 

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Authors and Affiliations

  1. The Department of Surgery, Yukokai General Hospital, 1-34-1 Shimizu, 567, Ibaraki City, Osaka, Japan

    Sumitomo Kato, Tsukasa Nakagawa & Hitoya Kobayashi

  2. The Department of Internal Medicine, Yukokai General Hospital, 1-34-1 Shimizu, 567, Ibaraki City, Osaka, Japan

    Eitatsu Arai

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  1. Sumitomo Kato
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  2. Tsukasa Nakagawa
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  3. Hitoya Kobayashi
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  4. Eitatsu Arai
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Kato, S., Nakagawa, T., Kobayashi, H. et al. Superior mesenteric arteriovenous fistula: Report of a case and review of the literature. Surg Today 23, 73–77 (1993). https://doi.org/10.1007/BF00309004

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  • DOI: https://doi.org/10.1007/BF00309004

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