Congestive colopathy in a patient with arteriovenous malformations and multiple mesenteric thromboses.
Humans
Arteriovenous Malformations
/ complications
Thrombosis
/ diagnostic imaging
Male
Colonic Neoplasms
/ complications
Embolization, Therapeutic
Colectomy
Adenocarcinoma
/ complications
Colonic Diseases
/ etiology
Abdominal Pain
/ etiology
Colon
/ blood supply
Tomography, X-Ray Computed
Colonoscopy
Mesenteric Vascular Occlusion
/ diagnostic imaging
colon cancer
endoscopy
general practice / family medicine
radiology
Journal
BMJ case reports
ISSN: 1757-790X
Titre abrégé: BMJ Case Rep
Pays: England
ID NLM: 101526291
Informations de publication
Date de publication:
22 Aug 2024
22 Aug 2024
Historique:
medline:
24
8
2024
pubmed:
24
8
2024
entrez:
23
8
2024
Statut:
epublish
Résumé
Arteriovenous malformations (AVMs) in mesenteric vessels are exceptionally rare. These congenital vascular anomalies lead to direct vascular flow between the highly pressured arterial system and the low-pressure venous system. We describe the case of a patient with prior left colectomy for splenic flexure colonic adenocarcinoma presenting with persistent abdominal pain after developing multiple mesenteric thromboses. CT and colonoscopy showed left hemicolon congestion, anastomotic stenosis and mucosal oedema. Mesenteric angiogram revealed AVMs in the right colic and left colic arteries. Embolisation of the left colic AVM led to symptom resolution without recurrence at interval follow-up.
Identifiants
pubmed: 39179262
pii: 17/8/e261713
doi: 10.1136/bcr-2024-261713
pii:
doi:
Types de publication
Case Reports
Journal Article
Langues
eng
Sous-ensembles de citation
IM
Informations de copyright
© BMJ Publishing Group Limited 2024. No commercial re-use. See rights and permissions. Published by BMJ.
Déclaration de conflit d'intérêts
oCompeting interests: JCA has no actual or potential conflicts to disclose. ACB, research funding to the institution for clinical trials in coeliac disease from Chugai Pharmaceutical and Kanyos Bio (Anokion) unrelated to this case. BJG has no actual or potential conflicts to disclose.