Successful coil embolization of an unusual aorto-superior mesenteric vein fistula.
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.
Hii
Hiong-Ping
HP
Department of Surgery, Chi-Mei Foundational Hospital, Yungkang City, Tainan County, Taiwan.
Wu
Zen-Hong
ZH
Yeh
Ming-Long
ML
Chen
Chien-Chang
CC