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Arterio-venous fistula following partial gastrectomy
Annales Chirurgiae Et Gynaecologiae
|January 1, 1980
Summary
Rare gastrointestinal surgery complications, arteriovenous (A-V) fistulas in the gastrocolic ligament and common hepatic artery occlusion, were observed. Resection is recommended due to rupture risk, though fistula may aid liver oxygenation.
Area of Science:
- Gastroenterology
- Vascular Surgery
- Surgical Complications
Background:
- Arteriovenous (A-V) fistulas and common hepatic artery occlusion are rare post-surgical complications.
- Gastric resection can lead to unusual vascular abnormalities.
Observation:
- A case report details a patient experiencing both gastrocolic ligament A-V fistula and common hepatic artery occlusion after gastric resection.
- No evidence of liver tissue necrosis was observed in the patient.
Findings:
- The presence of an A-V fistula connecting to the portal vein system may have potentially supported liver tissue oxygenation.
- Intestinal A-V fistulae should be considered in patients presenting with abdominal issues post-gastrointestinal surgery.
Implications:
- Surgical resection of intestinal A-V fistulae is advised due to the inherent risk of rupture in these fragile, dilated vessels.
- Early consideration of A-V fistulae is crucial for managing post-operative abdominal complications.