Internal Medicine
Online ISSN : 1349-7235
Print ISSN : 0918-2918
ISSN-L : 0918-2918
Inferior Mesenteric Arteriovenous Fistula Eight Years after Sigmoidectomy
Kyoko OKADANorihiro FURUSYOYasunori SAWAYAMANobuhisa ISHIKAWAShigeki NABESHIMATakuya TSUCHIHASHISeizaburo KASHIWAGIJun HAYASHI
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2002 Volume 41 Issue 7 Pages 543-548

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Abstract

We report a 69-year-old woman with liver cirrhosis due to chronic hepatitis C virus (HCV) infection in whom iatrogenic arteriovenous fistula (AVF) developed after sigmoidectomy. A soft mass with bruit led to the diagnosis of inferior mesenteric AVF. Most mesenteric AVF cases have portal hypertension, but this patients showed none of the usual symptoms of portal hypertension; however, she had a splenomegaly that became worse after sigmoidectomy. Clinicians should be aware of the possibility of AVF in patients with a history of abdominal surgery.
(Internal Medicine 41: 543-548, 2002)

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© The Japanese Society of Internal Medicine
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