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505: TENSION PNEUMOPERITONEUM POST-COLONOSCOPY by Aniket Mittal; Abdalla Ismail; Michael Wilson is a Medicine article available to read on EtoBox.

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Superior mesenteric arteriovenous fistula(SMAVF) is an extremely rare vascular disorder and the majority of cases reported have been due to abdominal trauma or gastrointestinal surgery. This fistula was revealed by portal hypertension, with bleeding esophageal varices, ascites, and diarrhea. We report a case of an idiopathic SMAVF without any history of abdominal trauma or gastrointestinal surgery. Methods: A 66-year-old woman with no significant medical history was admitted to our hospital because of bloody massive diarrhea and fatigue from 5 days before administration. Enhanced computed tomography revealed a large aneurysm filled by the superior mesenteric artery(SMA), draining into the superior mesenteric vein(SMV). Celiac artery was occluded at the root and SMA was responsible for almost all blood flow in the abdominal organs. So, we thought portal hypertension due to SMAVF as the cause of diarrhea. Emergency angiography demonstrated SMAVF in accord with CT, and it was treated with stent graft placement and coil embolization. Completion angiography showed minimal flow into the aneurysm. After the procedure, the patient was monitored carefully in the intensive care unit for any

Who reads 505: TENSION PNEUMOPERITONEUM POST-COLONOSCOPY?

Author

Aniket Mittal; Abdalla Ismail; Michael Wilson

Publisher

Lippincott Williams and Wilkins; Ovid Technologies (Wolters Kluwer) - Lippincott Williams & Wilkins; Lippincott Williams & Wilkins Ltd.; Ovid Technologies (Wolters Kluwer Health) (ISSN 0090-3493)

Published

2018

Language

EN

Field

Medicine (Health Sciences)