Abstract

WANG, Chong et al. Superior mesenteric arteriovenous fistula presenting as gastrointestinal bleeding: case report and literature review. Rev. esp. enferm. dig. [online]. 2016, vol.108, n.8, pp.503-507. ISSN 1130-0108.  https://dx.doi.org/10.17235/reed.2015.3852/2015.

Superior mesenteric arteriovenous fistula (SMAVF) is a rare vascular disorder usually following penetrating abdominal trauma or gastrointestinal surgery. Percutaneous endovascular treatment such as embolization, has been widely used to treat this disease. We report a patient, who was presented with melena at the onset of his symptoms, then an acute hematemesis in shock. A SMAVF was diagnosed on an angiogram after a large mesenteric vein was seen on CT. The patient had a successful emergency endoscopic variceal ligation (EVL) to stop bleeding. Then the patient received fistula embolization with covered stent.

Keywords : Superior mesenteric arteriovenous fistula (SMAVF); Endoscopic variceal ligation (EVL); Covered stent.

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