肠系膜上动静脉瘘栓塞术并发肠缺血
Superior mesenteric arteriovenous fistula embolisation complicated by bowel ischaemia.
作者信息
Hussein Maher, Issa Ghada, Muhsen Shirin, Haydar Ali
机构信息
Department of Surgery, American University of Beirut Medical Center, Beirut, Lebanon.
出版信息
BMJ Case Rep. 2013 May 15;2013:bcr2013009521. doi: 10.1136/bcr-2013-009521.
Abstract
Superior mesenteric arteriovenous fistulas are rare, especially when iatrogenic in origin. Management of these fistulas can be surgical or endovascular. Endovascular embolisation is the preferred modality with a low rate of complications. Among the reported complications, bowel ischaemia is considered an unlikely occurrence. We report a case of a complex iatrogenic arterioportal fistula that was managed by endovascular embolisation and controlled through both its inflow and outflow, and was later complicated by bowel ischaemia.
摘要
肠系膜上动静脉瘘很少见，尤其是医源性起源的。这些瘘的治疗方法可以是手术治疗或血管内治疗。血管内栓塞是首选的治疗方式，并发症发生率较低。在已报道的并发症中，肠缺血被认为不太可能发生。我们报告一例复杂的医源性肝动脉门静脉瘘，通过血管内栓塞治疗，同时控制其流入和流出，随后并发肠缺血。
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