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
Hauptverfasser: WOOD, MacDONALD, NYKAMP, PAUL W.
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NYKAMP, PAUL W.
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. 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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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