Traumatic Arteriovenous Fistula of the Superior Mesenteric Vessels
A case of traumatic arteriovenous fistula of the superior mesenteric vessels is added to a collective review of 16 previous cases. Nausea, vomiting, cramping abdominal pain, diarrhea, abdominal thrill and bruit were usually present. Arteriography was diagnostic. Four patients operated upon immediate...
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Veröffentlicht in: | The journal of trauma 1980-05, Vol.20 (5), p.378-382 |
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description | A case of traumatic arteriovenous fistula of the superior mesenteric vessels is added to a collective review of 16 previous cases. Nausea, vomiting, cramping abdominal pain, diarrhea, abdominal thrill and bruit were usually present. Arteriography was diagnostic. Four patients operated upon immediately or within 11 hours after penetrating abdominal trauma had superior mesenteric arteriovenous injuries repaired; the remainder had a mesenteric vascular injury missed at initial laparotomy. The location of the fistula determined the method of repair. Spontaneous obliteration occurred in one patient. In two of the three deaths, portal hypertension was persent and a fistula was discovered at autopsy; the other occurred 3 months after massive bowel resection. Thorough exploration of hematomas and lacerations of the mesentery will minimize or eliminate subsequent formation of an arteriovenous fistula. |
doi_str_mv | 10.1097/00005373-198005000-00003 |
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Nausea, vomiting, cramping abdominal pain, diarrhea, abdominal thrill and bruit were usually present. Arteriography was diagnostic. Four patients operated upon immediately or within 11 hours after penetrating abdominal trauma had superior mesenteric arteriovenous injuries repaired; the remainder had a mesenteric vascular injury missed at initial laparotomy. The location of the fistula determined the method of repair. Spontaneous obliteration occurred in one patient. In two of the three deaths, portal hypertension was persent and a fistula was discovered at autopsy; the other occurred 3 months after massive bowel resection. Thorough exploration of hematomas and lacerations of the mesentery will minimize or eliminate subsequent formation of an arteriovenous fistula.</description><identifier>ISSN: 0022-5282</identifier><identifier>EISSN: 1529-8809</identifier><identifier>DOI: 10.1097/00005373-198005000-00003</identifier><identifier>PMID: 7365850</identifier><language>eng</language><publisher>United States: Williams & Wilkins</publisher><subject>Abdominal Injuries - complications ; Adolescent ; Adult ; Aortography ; Arteriovenous Fistula - diagnostic imaging ; Arteriovenous Fistula - etiology ; Arteriovenous Fistula - surgery ; Female ; Humans ; Male ; Mesenteric Arteries - injuries ; Mesenteric Veins - injuries ; Middle Aged ; Saphenous Vein - transplantation ; Wounds, Gunshot - complications</subject><ispartof>The journal of trauma, 1980-05, Vol.20 (5), p.378-382</ispartof><rights>Williams & Wilkins 1980. 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Thorough exploration of hematomas and lacerations of the mesentery will minimize or eliminate subsequent formation of an arteriovenous fistula.</description><subject>Abdominal Injuries - complications</subject><subject>Adolescent</subject><subject>Adult</subject><subject>Aortography</subject><subject>Arteriovenous Fistula - diagnostic imaging</subject><subject>Arteriovenous Fistula - etiology</subject><subject>Arteriovenous Fistula - surgery</subject><subject>Female</subject><subject>Humans</subject><subject>Male</subject><subject>Mesenteric Arteries - injuries</subject><subject>Mesenteric Veins - injuries</subject><subject>Middle Aged</subject><subject>Saphenous Vein - transplantation</subject><subject>Wounds, Gunshot - complications</subject><issn>0022-5282</issn><issn>1529-8809</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>1980</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNp1kU1PwzAMhiMEGmPwE5B64lbIV5vmOCYGSEMcGFyjNHG1QrqOpGXi35OysRu-xPH7OraeIJQQfE2wFDc4RsYES4ksYhZv6VBiR2hMMirTosDyGI0xpjTNaEFP0VkI79HBOStGaCRYnhUZHqPbpdd9o7vaJFPfga_bL1i3fUjmdeh6p5O2SroVJC_9ZhB98gQB1oPRJG8QArhwjk4q7QJc7M8Jep3fLWcP6eL5_nE2XaSGCsxSzQ0BAKltZWlJcs6I4FlhrTZWEs5yrS2VoqRVWclSMimMkYZxafMSyzJnE3S1e3fj288eQqeaOhhwTq8hbqxEhgXngkVjsTMa34bgoVIbXzfafyuC1YBP_eFTB3y_paH1cj-jLxuwh8Y9r6jznb5tXYQQPly_Ba9WoF23Uv_9CvsBBYt68A</recordid><startdate>198005</startdate><enddate>198005</enddate><creator>WOOD, MacDONALD</creator><creator>NYKAMP, PAUL W.</creator><general>Williams & Wilkins</general><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7X8</scope></search><sort><creationdate>198005</creationdate><title>Traumatic Arteriovenous Fistula of the Superior Mesenteric Vessels</title><author>WOOD, MacDONALD ; NYKAMP, PAUL W.</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c2703-a4c1eee9adfd2b164317458ddacd91436aad297b2fbf9b9397cc9c349d6b09b63</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>1980</creationdate><topic>Abdominal Injuries - complications</topic><topic>Adolescent</topic><topic>Adult</topic><topic>Aortography</topic><topic>Arteriovenous Fistula - diagnostic imaging</topic><topic>Arteriovenous Fistula - etiology</topic><topic>Arteriovenous Fistula - surgery</topic><topic>Female</topic><topic>Humans</topic><topic>Male</topic><topic>Mesenteric Arteries - injuries</topic><topic>Mesenteric Veins - injuries</topic><topic>Middle Aged</topic><topic>Saphenous Vein - transplantation</topic><topic>Wounds, Gunshot - complications</topic><toplevel>online_resources</toplevel><creatorcontrib>WOOD, MacDONALD</creatorcontrib><creatorcontrib>NYKAMP, PAUL W.</creatorcontrib><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>MEDLINE - Academic</collection><jtitle>The journal of trauma</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>WOOD, MacDONALD</au><au>NYKAMP, PAUL W.</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Traumatic Arteriovenous Fistula of the Superior Mesenteric Vessels</atitle><jtitle>The journal of trauma</jtitle><addtitle>J Trauma</addtitle><date>1980-05</date><risdate>1980</risdate><volume>20</volume><issue>5</issue><spage>378</spage><epage>382</epage><pages>378-382</pages><issn>0022-5282</issn><eissn>1529-8809</eissn><abstract>A case of traumatic arteriovenous fistula of the superior mesenteric vessels is added to a collective review of 16 previous cases. Nausea, vomiting, cramping abdominal pain, diarrhea, abdominal thrill and bruit were usually present. Arteriography was diagnostic. Four patients operated upon immediately or within 11 hours after penetrating abdominal trauma had superior mesenteric arteriovenous injuries repaired; the remainder had a mesenteric vascular injury missed at initial laparotomy. The location of the fistula determined the method of repair. Spontaneous obliteration occurred in one patient. In two of the three deaths, portal hypertension was persent and a fistula was discovered at autopsy; the other occurred 3 months after massive bowel resection. Thorough exploration of hematomas and lacerations of the mesentery will minimize or eliminate subsequent formation of an arteriovenous fistula.</abstract><cop>United States</cop><pub>Williams & Wilkins</pub><pmid>7365850</pmid><doi>10.1097/00005373-198005000-00003</doi><tpages>5</tpages></addata></record> |
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subjects | Abdominal Injuries - complications Adolescent Adult Aortography Arteriovenous Fistula - diagnostic imaging Arteriovenous Fistula - etiology Arteriovenous Fistula - surgery Female Humans Male Mesenteric Arteries - injuries Mesenteric Veins - injuries Middle Aged Saphenous Vein - transplantation Wounds, Gunshot - complications |
title | Traumatic Arteriovenous Fistula of the Superior Mesenteric Vessels |
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