Please use this identifier to cite or link to this item: https://open.uns.ac.rs/handle/123456789/6476
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dc.contributor.authorDušan Grujićen_US
dc.contributor.authorAleksandar Kneževićen_US
dc.contributor.authorSvetlana Vojvodićen_US
dc.contributor.authorBojana Grujićen_US
dc.date.accessioned2019-09-30T08:55:17Z-
dc.date.available2019-09-30T08:55:17Z-
dc.date.issued2015-01-01-
dc.identifier.issn21463123en_US
dc.identifier.urihttps://open.uns.ac.rs/handle/123456789/6476-
dc.description.abstract© Trakya University Faculty of Medicine. Background: Arteriovenous fistulas (AVFs) of the superior mesenteric vasculature are rarely encountered. We present a case of an iatrogenic superior mesenteric AVF in a patient who had undergone a small bowel resection 14 years previously. Case Report: The 45-year-old male was admitted with bloody diarrhea, fatigue, weight loss and moderate ascites. On the fifth hospital day, while being evaluated for suspected liver cirrhosis, the patient developed severe gastrointestinal (GI) bleeding. An upper GI endoscopy revealed bleeding, esophago-gastric varices. A thorough clinical examination pointed to a paraumbilical murmur and thrill, while a contrast enhanced computerized tomography (CT) scan of the abdomen revealed the presence of cystic dilatation of the superior mesenteric vein (SMV), hepatomegaly and ascites. Duplex ultrasonography and 3D-computed tomography angiography (3D-CTA) confirmed the existence of AVF between the superior mesenteric artery (SMA) and SMV, which was the cause of portal hypertension and variceal bleeding. Despite the fact that AVF was ultimately recognized, uncontrollable hypovolemic shock caused by hematemesis, precluded the probable efficiency of further therapeutic attempts. Conclusion: Successful management of mesenteric blood vessel AVFs involves timely and the accurate diagnosis and early treatment in order to prevent the development of life threatening complications.en_US
dc.language.isoenen_US
dc.relation.ispartofBalkan Medical Journalen_US
dc.subjectIatrogenic arteriovenous fistulaen_US
dc.subjectportal hypertensionen_US
dc.subjectsuperior mesenteric arteryen_US
dc.subjectvariceal bleedingen_US
dc.titleSuperior mesenteric arteriovenous fistula presenting with massive lethal upper gastrointestinal bleeding 14 years after small bowel resectionen_US
dc.typeJournal/Magazine Articleen_US
dc.identifier.doi10.5152/balkanmedj.2015.15608-
dc.identifier.scopus2-s2.0-84929457916-
dc.identifier.urlhttps://api.elsevier.com/content/abstract/scopus_id/84929457916-
dc.description.versionPublisheden_US
dc.relation.lastpage217en_US
dc.relation.firstpage214en_US
dc.relation.issue2en_US
dc.relation.volume32en_US
item.grantfulltextnone-
item.fulltextNo Fulltext-
crisitem.author.deptMedicinski fakultet, Katedra za internu medicinu-
crisitem.author.parentorgMedicinski fakultet-
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