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Congenital mesenteric arterio-portal fistula: Report of a case

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Abstract

A male patient with an arterio-portal fistula resulting from a mesenteric arteriovenous malformation, who developed portal hypertension and liver cirrhosis, is presented herein. The malformation was considered to be congenital in origin and its location made any ablative surgical procedure impossible. Such alternative treatments as ligation of the afferent arteries, followed by transarterial embolization were therefore given, but both were unsuccessful. We also present a review of the literatures of mesenteric arteriovenous fistula. Radical surgical approach for the rare entity is proposed. The case reported here as related to mesenteric arteriovenous communications of congenital origin is the seventh such case published, and the first which was ever found to be located in the trunk of the superior mesenteric artery.

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Authors and Affiliations

  1. Department of Pathology, Institute for Tropical Medicine, Nagasaki University School of Medicine, Nagasaki, Japan

    Kenji Irifune

  2. The Second Department of Surgery, Nagasaki University School of Medicine, 7-1 Sakamoto Machi, 852, Nagasaki, Japan

    Luis Enrique Loria, Ryoichi Tsuchiya, Noboru Harada, Tsutomu Tomioka, Kunihide Izawa, Kazuhide Ura & Kazuyuki Ozeki

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  1. Luis Enrique Loria
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  2. Ryoichi Tsuchiya
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  3. Noboru Harada
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  4. Tsutomu Tomioka
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Loria, L.E., Tsuchiya, R., Harada, N. et al. Congenital mesenteric arterio-portal fistula: Report of a case. The Japanese Journal of Surgery 18, 351–358 (1988). https://doi.org/10.1007/BF02471455

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  • DOI: https://doi.org/10.1007/BF02471455

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