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[Arteriovenous fistula after partial gastrectomy. A case report.].
Laeknabladid
|August 15, 2009
Summary
A rare gastric artery to vein fistula, secondary to prior surgery, caused abdominal pain and heart failure. Surgical excision successfully resolved the patient's symptoms, highlighting a delayed complication of gastrectomy.
Area of Science:
- Gastroenterology
- Vascular Surgery
- Diagnostic Imaging
Context:
- Portal arteriovenous fistulas are rare, often resulting from abdominal trauma or surgery.
- This case involves a delayed complication following a Billroth I partial gastrectomy.
Purpose:
- To report a unique case of a left gastric artery-vein fistula.
- To describe the diagnostic process and successful surgical management of this rare fistula.
Summary:
- A 74-year-old man presented with abdominal pain and cardiac failure symptoms.
- Physical examination revealed an epigastric bruit and ascites.
- Doppler ultrasound and angiography confirmed a left gastric artery-vein fistula, a complication from a gastrectomy performed 32 years prior. The fistula was surgically excised, leading to symptom resolution.
Impact:
- Highlights the possibility of late-onset arteriovenous fistulas as a complication of gastrectomy.
- Emphasizes the utility of advanced imaging in diagnosing rare vascular anomalies.
- Demonstrates the effectiveness of surgical intervention for symptomatic arteriovenous fistulas.
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