title: Successful coil embolization of an unusual aorto-superior mesenteric vein fistula.
abstract: The aortovenous fistulas are rare, most of them are aortocaval fistula. The non-caval communication of the fistula is sparse. Herein we report a 47-year-old female diagnosed as traumatic aorto-superior mesenteric vein (Ao-SMV) fistula. The abdominal pain, fullness, and frank bruit on abdominal auscultation suggested the diagnosis of an intra-abdominal arteriovenous fistula. The diagnosis of Ao-SMV was further confirmed by the computed tomography (CT) and aortography. The fistula was successfully treated with transcatheter coil embolization. This is the first case of Ao-SMV fistula. It provides an alternative option of treatment other than conventional surgery.
authors.affiliation: Department of Surgery, Chi-Mei Foundational Hospital, Yungkang City, Tainan County, Taiwan.
authors.forename: Hiong-Ping
authors.initials: HP
authors.lastname: Hii
authors.forename: Zen-Hong
authors.initials: ZH
authors.lastname: Wu
authors.forename: Ming-Long
authors.initials: ML
authors.lastname: Yeh
authors.forename: Chien-Chang
authors.initials: CC
authors.lastname: Chen