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Updated: May 11, 2026

Multimodality Diagnosis of Mesenteric Ischemia
Published on: July 21, 2023
Superior mesenteric arteriovenous fistula embolisation complicated by bowel ischaemia
Maher Hussein1, Ghada Issa, Shirin Muhsen
1Department of Surgery, American University of Beirut Medical Center, Beirut, Lebanon.
Abstract:
Superior mesenteric arteriovenous fistulas are rare, especially when iatrogenic in origin. Management of these fistulas can be surgical or endovascular. Endovascular embolisation is the preferred modality with a low rate of complications. Among the reported complications, bowel ischaemia is considered an unlikely occurrence. We report a case of a complex iatrogenic arterioportal fistula that was managed by endovascular embolisation and controlled through both its inflow and outflow, and was later complicated by bowel ischaemia.
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