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- Title
Portal hypertension caused by postoperative superior mesenteric arteriovenous fistula.
- Authors
Popović, Dušan Dj; Špuran, Milan; Davidović, Lazar; Alempijević, Tamara; Uglješić, Milenko; Banzić, Igor; Jadranin, Dragica; Kovačević, Nada; Perišić, Mirjana; Čolić, Momčilo; Krstić, Miodrag
- Abstract
Introduction. Arteriovenous fistula of the superior mesenteric blood vessels is a rare complicaton in abdominal surgery. Case report. We presented a 49-year-old man with cramplike abdominal pain, abdominal distension and weight loss symptoms, with a history of previous small bowel resection and right colectomy, due to Crohn disease, 16 years ago. Clinical examination revealed a paraumbilical pulsation with systolic murmur and thrill. Ultrasonography and computed tomography revealed cystic dilatation of the superior mesenteric vein, hepatomegaly and ascites. Upper endoscopy revealed grade I esophageal varices with portal hypertensive gastropathy. The diagnosis of arteriovenous fistula between superior mesenteric artery and vein was confirmed by angiogram of the superior mesenteric vessels and resection of the fistula was performed. Control examination after nine months showed no signs of portal hypertension. Conclusion. Early diagnosis and treatment of mesenteric blood vessel arteriovenous fistula prevents portal hypertension development and its complications.
- Subjects
PORTAL hypertension; ARTERIOVENOUS fistula; MESENTERIC artery; ABDOMINAL surgery; SURGICAL complications; COLECTOMY
- Publication
Vojnosanitetski Pregled: Military Medical & Pharmaceutical Journal of Serbia, 2012, Vol 69, Issue 7, p623
- ISSN
0042-8450
- Publication type
Article
- DOI
10.2298/VSP1207623P