scholarly journals Portal hypertension caused by postoperative superior mesenteric arteriovenous fistula

2012 ◽  
Vol 69 (7) ◽  
pp. 623-626
Author(s):  
Dusan Popovic ◽  
Milan Spuran ◽  
Lazar Davidovic ◽  
Tamara Alempijevic ◽  
Milenko Ugljesic ◽  
...  
Keyword(s):  
Portal Hypertension ◽  
Arteriovenous Fistula ◽  
Mesenteric Artery ◽  
Bowel Resection ◽  
Abdominal Distension ◽  
Small Bowel Resection ◽  
Cystic Dilatation ◽  
History Of ◽  
Mesenteric Vessels ◽  
Hypertension Development

Introduction. Arteriovenous fistula of the superior mesenteric blood vessels is a rare complicaton in abdominal surgery. Case report. We presented a 49-year-old man with cramplike abdominal pain, abdominal distension and weight loss symptoms, with a history of previous small bowel resection and right colectomy, due to Crohn disease, 16 years ago. Clinical examination revealed a paraumbilical pulsation with systolic murmur and thrill. Ultrasonography and computed tomography revealed cystic dilatation of the superior mesenteric vein, hepatomegaly and ascites. Upper endoscopy revealed grade I esophageal varices with portal hypertensive gastropathy. The diagnosis of arteriovenous fistula between superior mesenteric artery and vein was confirmed by angiogram of the superior mesenteric vessels and resection of the fistula was performed. Control examination after nine months showed no signs of portal hypertension. Conclusion. Early diagnosis and treatment of mesenteric blood vessel arteriovenous fistula prevents portal hypertension development and its complications.

scholarly journals A 8- year Bangladeshi girl with disseminated histoplasmosis, presented as chronic liver disease with portal hypertension: a rare case report

2020 ◽  
Vol 20 (1) ◽  
Author(s):  
Luthfun Nahar ◽  
Md Benzamin ◽  
Naznin Sarkar ◽  
Urmi Roy ◽  
Kamrun Nahar ◽  
...  
Keyword(s):  
Portal Hypertension ◽  
Abdominal Distension ◽  
Pulmonary Involvement ◽  
Tuberculosis Patient ◽  
Blood Product Transfusion ◽  
Disseminated Histoplasmosis ◽  
Rare Case Report ◽  
History Of ◽  
Generalized Lymphadenopathy ◽  
Medical University

Abstract Background Histoplasmosis is a rare infectious condition with mainly pulmonary involvement. Disseminated histoplasmosis may occur in immunocompromised condition. It can present in different ways but jaundice and ascites is very uncommon. Case presentation A 8- year old girl visited to department of pediatric gastroenterology & nutrition, Bangabandhu Sheikh Mujib Medical University, Dhaka, Bangladesh. Child presented with fever, jaundice and abdominal distension for 2 ½ months. There was no history of contact with tuberculosis patient and travelling to kala-azar, malaria endemic zone and no history of previous jaundice, blood or blood product transfusion, history of sib death, family history of jaundice or neuropsychiatric disorder, significant weight loss. On general examination she was fretful, febrile, moderately icteric, mildly pale, vitally stable, severely wasted and moderately stunted, skin survey revealed infected scabies, BCG vaccine mark was absent, generalized lymphadenopathy, hepato-splenomegaly and ascites present. After evaluating the physical findings, several investigations was done including lymphnode biopsy, then the case was finally diagnosed as Disseminated histoplasmosis with portal hypertension. Child was treated with injectable Deoxycholate Amphotericin B for 28 days and improved on follow up. Conclusion We suggest that children presenting with fever, jaundice, lymphadenopathy and hepatosplenomegaly and portal hypertension, disseminated histoplasmosis can be one differential.

Superior Mesenteric Arteriovenous Fistula Presenting 10 years after Extensive Small Bowel Resection

2000 ◽  
Vol 70 (11) ◽  
pp. 822-823 ◽  
Author(s):  
C. Y. Y. Chen ◽  
A. G. S. Tan ◽  
M. B. K. Lin ◽  
C. Khor
Keyword(s):  
Small Bowel ◽  
Arteriovenous Fistula ◽  
Bowel Resection ◽  
Small Bowel Resection

scholarly journals Successful Treatment of Hepatoportal Arteriovenous Fistula by Transcatheter Embolization with Steel Coils

1994 ◽  
Vol 8 (5) ◽  
pp. 313-316
Author(s):  
Taralyn D Picton ◽  
Lindsay Machan ◽  
Jennifer Davis ◽  
Hugh J Freeman ◽  
Urs P Steinbrecher
Keyword(s):  
Portal Hypertension ◽  
Portal Vein ◽  
Arteriovenous Fistula ◽  
Hepatic Artery ◽  
Successful Treatment ◽  
Variceal Bleeding ◽  
Transcatheter Embolization ◽  
Liver Trauma ◽  
Steel Coils ◽  
History Of

Portal hypertension is most commonly caused by increased intrahepatic resistance as a result of cirrhosis, but can also occur as a result of abnormally high portal bloodflow. This article describes a patient with a history of remote liver trauma in whom portal hypertension and variceal bleeding were shown to be due to an arteriovenous fistula between the hepatic artery and portal vein. Transcatheter embolization with Gianturco coils resulted in obliteration of the fistula and normalization of portal pressures.

scholarly journals Sporadic Peutz–Jeghers syndrome: a rare cause of intussusception in a toddler with no medical history

2019 ◽  
Vol 2019 (6) ◽  
Author(s):  
Mhmmad Nassif ◽  
Bardisan Gawrieh ◽  
Aras Abdo ◽  
Zuheir Alshehabi ◽  
Wajih Ali
Keyword(s):  
Small Bowel ◽  
Medical History ◽  
Bowel Resection ◽  
Small Bowel Resection ◽  
Lead Point ◽  
Lower Lip ◽  
Pigmented Lesions ◽  
The Face ◽  
History Of ◽  
Peutz Jeghers Syndrome

AbstractPeutz–Jeghers syndrome (PJS) is an unusual hamartomatous polyposis of the gastrointestinal tract associated with melanocytic mucocutaneous hyperpigmentation. This research paper examines the case of an 18-month-old Syrian female who had been diagnosed with intussusception. The patient underwent laparotomy, and multiple small bowel polyps were found to act as the lead point. For this reason, small bowel resection (~15 cm), with end-to-end anastomosis, were performed. Although PJS diagnosis was histopathologically confirmed, the patient had no pigmented lesions on the face, the lower lip or the buccal mucosa and neither had any history of hospitalization or family history of the disease. This case was examined and is reported in the present study because PJS is rarely present at this early age when significant medical history is lacking.

scholarly journals An Unusual Presentation of Liver Failure in a Patient with Primary Gastrointestinal Hodgkin's Lymphoma

Lymphoma ◽  
2011 ◽  
Vol 2011 ◽  
pp. 1-5
Author(s):  
Gabrielle B. Rocque ◽  
Jeffrey T. Malik ◽  
David T. Yang ◽  
Julie E. Chang
Keyword(s):  
Liver Biopsy ◽  
Liver Failure ◽  
Hodgkin’S Lymphoma ◽  
Clinical Presentation ◽  
Bowel Resection ◽  
Small Bowel Resection ◽  
Hodgkin's Lymphoma ◽  
Bowel Involvement ◽  
History Of ◽  
Vanishing Bile Duct

Introduction. Hodgkin's lymphoma (HL) presenting either with primary bowel involvement or with cholestasis is unusual. The combination of primary gastrointestinal HL presenting with cholestasis and ductopenia has not been previously described. Case Report. We present a case of primary gastrointestinal HL with evidence of liver involvement, but also with prominent ductopenia on liver biopsy and associated intrahepatic cholestasis. A 50-year-old man with a history of Crohn's disease presented with a bowel obstruction, for which he underwent a small bowel resection. Histology revealed HL. His course was complicated by cholestatic liver failure. A subsequent liver biopsy revealed both focal involvement by lymphoma and ductopenia, resembling vanishing bile duct syndrome (VBDS). He was treated with chemotherapy with improvement in his cholestasis, but he eventually succumbed due to further complications of his disease and treatment toxicities. Conclusion. This case of primary gastrointestinal HL associated with ductopenia does not meet classic criteria for VBDS, but the clinical presentation and pathology are suggestive of a VBDS-like paraneoplastic process. Therapies for HL in the setting of cholestatic liver failure require special consideration, but some reports of durable remissions and recovery of liver function have been reported.

scholarly journals Embolization of a Superior Mesenteric Arteriovenous Fistula Identified During Consultation for a Transjugular Intrahepatic Portosystemic Shunt Procedure: A Case Report

2021 ◽  
Author(s):  
Austin Shinagawa ◽  
Zaeem Billah ◽  
Kartik Kansagra ◽  
Ken Lam ◽  
Geogy Vatakencherry
Keyword(s):  
Case Report ◽  
Arteriovenous Fistula ◽  
Transjugular Intrahepatic Portosystemic Shunt ◽  
Vascular Anomaly ◽  
Small Bowel Resection ◽  
Portosystemic Shunt ◽  
Level Of Evidence ◽  
Shunt Procedure ◽  
Intrahepatic Portosystemic Shunt ◽  
History Of

Abstract Superior mesenteric arteriovenous fistula is a rare vascular anomaly often presenting with sequelae of portal hypertension, heart failure, or mesenteric ischemia. This report describes a 75-year-old woman with a history of extensive small bowel resection who presented with variceal bleeding. She was referred to vascular and interventional radiology for a transjugular intrahepatic portosystemic shunt procedure; however, her history was inconsistent with cirrhosis. This prompted further review of her imaging, which identified a superior mesenteric arteriovenous fistula as the probable etiology of her varices. This was subsequently embolized with a vascular plug and follow-up upper endoscopy at 1-month demonstrated complete resolution of her varices. This patient was able to avoid a procedure with potentially catastrophic consequences, highlighting the necessity of comprehensive consultations by interventional physicians. Level of Evidence: Level 4, Case Report.

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