[Arteriovenous fistula of the cecum diagnosed by digital angiography].
We report the case of a 69 year-old female, with cardiac disease, hypertension, and chronic renal failure treated by hemodialysis; she had several episodes of gastrointestinal hemorrhage, which could not be diagnosed by conventional methods. Digital angiographic study demonstrated the exact cause: it allowed to localize an arterio-venous malformation. A right hemicolectomy was performed and the pathologic study showed the presence of an arteriovenous fistula. Three years later the patient is free of symptoms. We recommend digital angiography in cases of gastrointestinal hemorrhage of unknown or unclear etiology, particularly in patients in chronic renal failure, on the basis of the association of hemodialysis and arteriovenous malformation.
Díaz
J
J
Departamento de Cirugía, Hospital La Paz, Madrid.
Sánchez
A
A
Mata
A
A
Larrauri
J
J
Zubicoa
S
S
Mateo
A
A
D000368:Aged; D015901:Angiography, Digital Subtraction; D001164:Arteriovenous Fistula / Q000150:complications / Q000000981:diagnostic imaging*; D002432:Cecum / Q000098:blood supply*; D005260:Female; D006471:Gastrointestinal Hemorrhage / Q000209:etiology; D006801:Humans; D007676:Kidney Failure, Chronic / Q000150:complications / Q000628:therapy; D008551:Melena / Q000209:etiology; D006435:Renal Dialysis
Fístula arteriovenosa de ciego diagnosticada por angiografía digital.