Angiographic selective methylene blue staining of an occult small-bowel arteriovenous malformation.
This case report details a technique to intraoperatively define a segment of small bowel containing a bleeding arteriovenous malformation allowing definitive surgery. A patient with an arteriovenous malformation of the small intestine underwent angiographic localization using a highly selective microcatheter and intraoperative methylene blue dye allowing a specific segment of intestine to be resected. Angiographic identification and intraoperative location of small intestine arteriovenous malformations can allow the surgeon to more accurately define the affected segment allowing the surgery to be specific and successful.
Schechter
Steven
S
Department of General Surgery, Brown University/The Miriam Hospital, Providence, Rhode Island, USA.
Deorchis
Douglas
D
Bass
James
J
Marcoux
David A
DA
D000368:Aged; D000792:Angiography; D001165:Arteriovenous Malformations / Q000175:diagnosis*; D004396:Coloring Agents; D006471:Gastrointestinal Hemorrhage / Q000209:etiology; D006801:Humans; D007421:Intestine, Small / Q000098:blood supply*; D008297:Male; D017538:Mesenteric Artery, Superior / Q000000981:diagnostic imaging; D008751:Methylene Blue
D004396:Coloring Agents; D008751:Methylene Blue