Coulier Bruno, De Wispelaere Jean-François, Bueres Isabelle, Pierard Frédéric, Deprez Fabrice Cedric, Maldague Philippe, van Hoof Marc, Gielen Isabelle
Department of Diagnostic Radiology, Clinique St Luc, Bouge (Namur), Belgium.
Departments of Diagnostic and Interventional Radiology, CHU Mont-Godinne, Yvoir, Belgium.
BJR Case Rep. 2016 Jan 19;2(1):20150275. doi: 10.1259/bjrcr.20150275. eCollection 2016.
We report a very rare case of acute congestive ischaemic colitis of the left colon caused by brutal decompensation of an uncommon arteriovenous malformation (AVM) in the territory of the inferior mesenteric artery (IMA) in a 45-year-old male patient. The patient presented with severe abdominal pain in the left iliac fossa and abundant mucoid stools. The diagnosis of congestive colitis was made by optical colonoscopy but the full diagnosis of the responsible AVM in the IMA territory was made by contrast-enhanced multidetector CT scan combined with colour Doppler ultrasound. Two successive attempts at selective embolization failed to resolve the symptoms and finally, extensive surgery was necessary. The complete imaging findings of the case are presented and the characteristic features of uncommon AVMs and fistulas of the IMA territory are briefly reviewed.
