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Ischemic colitis secondary to inferior mesenteric arteriovenous fistula and portal vein stenosis in a liver transplant recipient.

Authors
Type
Published Article
Journal
World Journal of Gastroenterology
1007-9327
Publisher
Baishideng Publishing Group Co
Publication Date
Volume
14
Issue
26
Pages
4249–4252
Identifiers
PMID: 18636676
Source
Medline
License
Unknown

Abstract

Arteriovenous fistula (AVF) involving the inferior mesenteric vessels is rare, and the affected patients usually present with abdominal pain, mass, or features of established portal hypertension. Colonic ischemia is a less common and more serious manifestation of AVF. We report a case of ischemic colitis secondary to inferior mesenteric AVF in a patient who underwent a previous liver transplantation, subsequently developed portal vein stenosis, and then presented with acute lower gastrointestinal bleeding. He underwent percutaneous transhepatic placement of a portal vein stent and left colectomy.

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