Jejunal arteriovenous malformation, diagnosed by angiography and treated by embolization and catheter-guided surgery: case report and review of literature.
A case of chronic gastrointestinal hemorrhage caused by a small jejunal arteriovenous malformation (AVM) is reported. Treatment by endovascular embolization was temporarily successful. Subsequently, the patient underwent laparoscopic resection, guided by intraoperative catheter localization with methylene blue. Histopathology confirmed a true AVM. Eighteen months after treatment, the patient is free of symptoms. Literature of jejunal AVMs is reviewed.
Defreyne
L
L
Department of Radiology and Medical Imaging, University Hospital of Gent, Belgium.
Verstraeten
V
V
De Potter
C
C
Pattyn
P
P
De Vos
M
M
Kunnen
M
M
D000368:Aged; D015901:Angiography, Digital Subtraction; D001165:Arteriovenous Malformations / Q000150:complications / Q000000981:diagnostic imaging* / Q000601:surgery / Q000628:therapy*; D002908:Chronic Disease; D004621:Embolization, Therapeutic; D005260:Female; D006471:Gastrointestinal Hemorrhage / Q000000981:diagnostic imaging / Q000209:etiology / Q000628:therapy; D006801:Humans; D007583:Jejunum / Q000098:blood supply*; D010535:Laparoscopy