Inferior Mesenteric Arteriovenous Fistula Successfully Treated with Surgical Resection: A Case Report

Takuya Shimizu; Miho Kamakura; Yoshihisa Murata; Kazuhiro Ota; Miki Takeda; Wakiko Hiranuma; Takayuki Matsuoka; Tadanori Minagawa; Fukashi Serizawa; Masato Ohara; Yuko Itakura; Shunsuke Kawamoto

doi:10.3400/avd.cr.25-00067

Case Report

Inferior Mesenteric Arteriovenous Fistula Successfully Treated with Surgical Resection: A Case Report

Takuya Shimizu , Miho Kamakura, Yoshihisa Murata, Kazuhiro Ota, Miki Takeda, Wakiko Hiranuma, Takayuki Matsuoka, Tadanori Minagawa, Fukashi Serizawa, Masato Ohara, Yuko Itakura, Shunsuke Kawamoto

Author information

Takuya Shimizu Corresponding author
Department of Cardiovascular Surgery, Tohoku Medical and Pharmaceutical University Graduate School of Medicine, Sendai, Miyagi, Japan
Miho Kamakura
Department of Cardiovascular Surgery, Tohoku Medical and Pharmaceutical University Graduate School of Medicine, Sendai, Miyagi, Japan
Yoshihisa Murata
Department of Cardiovascular Surgery, Tohoku Medical and Pharmaceutical University Graduate School of Medicine, Sendai, Miyagi, Japan
Kazuhiro Ota
Department of Cardiovascular Surgery, Tohoku Medical and Pharmaceutical University Graduate School of Medicine, Sendai, Miyagi, Japan
Miki Takeda
Department of Cardiovascular Surgery, Tohoku Medical and Pharmaceutical University Graduate School of Medicine, Sendai, Miyagi, Japan
Wakiko Hiranuma
Department of Cardiovascular Surgery, Tohoku Medical and Pharmaceutical University Graduate School of Medicine, Sendai, Miyagi, Japan
Takayuki Matsuoka
Department of Cardiovascular Surgery, Tohoku Medical and Pharmaceutical University Graduate School of Medicine, Sendai, Miyagi, Japan
Tadanori Minagawa
Department of Cardiovascular Surgery, Tohoku Medical and Pharmaceutical University Graduate School of Medicine, Sendai, Miyagi, Japan
Fukashi Serizawa
Department of Surgery, Japanese Red Cross Ishinomaki Hospital, Ishinomaki, Miyagi, Japan
Masato Ohara
Department of Surgery, Japanese Red Cross Ishinomaki Hospital, Ishinomaki, Miyagi, Japan
Yuko Itakura
Department of Pathology, Japanese Red Cross Ishinomaki Hospital, Ishinomaki, Miyagi, Japan
Shunsuke Kawamoto
Department of Cardiovascular Surgery, Tohoku Medical and Pharmaceutical University Graduate School of Medicine, Sendai, Miyagi, Japan

Keywords: inferior mesenteric artery, arteriovenous fistula, surgical resection

JOURNAL OPEN ACCESS FULL-TEXT HTML

2025 Volume 18 Issue 1 Article ID: cr.25-00067

DOI https://doi.org/10.3400/avd.cr.25-00067

Details

Abstract

Idiopathic inferior mesenteric arteriovenous fistula is an extremely rare pathology, and symptoms vary greatly depending on the shunt flow volume through the fistula. We report a case of idiopathic inferior mesenteric arteriovenous fistula in a 63-year-old man who presented with a pulsating sensation in the upper abdomen. Computed tomography revealed an inferior mesenteric arteriovenous fistula with aneurysmal dilatation and a drainage vein into the dilated marginal vein of the descending colon. Surgical resection and ligation of the fistula were successfully performed, and the postoperative course was uneventful. The patient’s symptoms resolved, and no recurrence was observed during the 5-year follow-up.

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